NPI 1003034141

Kristy Selvaggi, RPAC

Practitioner Physician Assistant West Islip, NY

Practice location

Address: 1000 Montauk Highway Good Samaritan Hospital, West Islip, NY 11795
Phone: (631) 376-4444
Mailing address: 23 Acorn Lane, Stony Brook, NY 11790

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 010787 (NY)

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Registry record

NPI: 1003034141
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2007
Record last updated: 17 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.