| Doctor Name: | MRS. SARA ISABEL DEVITA |
| NPI Number: | 1063782688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F336966-1 |
| Business Practice Address: | 2857 Jerusalem Ave Wantagh, NY - 117932018 |
| Business Phone Number: | 5167852783 |
| Business Fax Number: | 5167852584 |
| Mailing Address: | 2478 Freeport St, WANTAGH |
| State: | NY |
| Postal Code: | 117934527 |
| Phone Number: | 5167850317 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2012 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | F336966-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |