LACEY ROSE, PA

PA

Physician Assistant

NPI: 1629839709IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

031360(NY)

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

031360(NY)PA9120077(FL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2024

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Contact & Hours

Address: 301 E MAIN ST
BAY SHORE, NY 11706
Phone: (631) 968-3000

Locations (2)

Practice Location

301 E MAIN ST, BAY SHORE, NY

Practice Location

1700 S TAMIAMI TRL, SARASOTA, FL

Quick Facts

NPI: 1629839709
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 2

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