Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hunter Ryan Iacovetti

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649872771

Hunter Ryan Iacovetti is a Student in an Organized Health Care Education/Training Program in Amityville, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

333 Broadway
Amityville, NY 11701-2719
Phone: (631) 789-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649872771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2020
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address89 Ketcham Ave, Amityville, NY 11701-3110

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