Individual provider · Type 1 NPI

Mary Devine, PA

Medical Physician Assistant · East Meadow, NY

NPI number 1891856852 Active

Practice location

2201 Hempstead Tpke, Internal Box 42
East Meadow, NY 11554-1859

Call (516) 572-6131 Map

Fax (516) 572-5793

Mailing address

59 Jefferson Ave
Wyandanch, NY 11798-4021

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X006111 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1891856852

Mary Devine, PA's National Provider Identifier is 1891856852, issued on Dec 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Meadow, NY. The record was last updated on Jul 8, 2007.