is a Physician Assistant in Brooklyn, New York. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1659580082. The last update date is .
's current location address is 1186 E 9th St, Brooklyn, New York. You can contact this provider via phone number 7186139395. The mailing address for is 1186 E 9th St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1186 E 9th St, Brooklyn, New York |
| Phone Number | 7186139395 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659580082 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1186 E 9th St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112304704 |
| Phone Number | 7186139395 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11701 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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