Mary Ashley Manetta, PHYSICIAN ASSISTANT

NPI #1720837834 in Patchogue, New York

Provider Information

NPI Number: 1720837834
Entity Type: Individual
Name: Mary Ashley Manetta, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: May 13, 2024
Last Updated: May 16, 2024

Practice Location

Address: 101 HOSPITAL RD
City: Patchogue
State: New York
ZIP Code: 11772-4870
Phone: (631) 654-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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