Individual provider · Type 1 NPI
Shaelyn Dutton
Medical Physician Assistant · Bay Shore, NY
NPI number
1285334995
Active
Practice location
301 E Main St
Bay Shore, NY 11706-8408
Mailing address
775 Sylvan Ave
Bayport, NY 11705-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1285334995
Shaelyn Dutton's National Provider Identifier is 1285334995, issued on Mar 9, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 14, 2023.