Individual provider · Type 1 NPI

John O. Gaetani, PA

Medical Physician Assistant · Mineola, NY

NPI number 1508018276 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Mailing address

386 Southport St
Ronkonkoma, NY 11779-6265

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001377 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1508018276

John O. Gaetani, PA's National Provider Identifier is 1508018276, issued on Oct 14, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mineola, NY. The record was last updated on Oct 14, 2008.