Doctor Name: | JOANNA CERVINI |
NPI Number: | 1043430770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 010801-1 |
Business Practice Address: | 259 1st St Winthrop University Hospital Gp4 Mineola, NY - 115013957 |
Business Phone Number: | 5166632384 |
Business Fax Number: | 5166638288 |
Mailing Address: | 259 1st St, Winthrop University Hospital Gp4 MINEOLA |
State: | NY |
Postal Code: | 115013957 |
Phone Number: | 5166632384 |
Fax Number: | 5166638288 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 010801-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |