SearchNew York363A00000X

Michaela Aversa

NPI 1760311989 · on the registry since 2026 · sole proprietor

Practice

Address
1498 Clove Rd
Staten Island, NY 10301
Phone
(917) 935-7389
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York