is a Physician Assistant in Staten Island, New York. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1144487802. The last update date is .
's current location address is 16 Stebbins Ave, Staten Island, New York. You can contact this provider via phone number 7184480819. The mailing address for is 16 Stebbins Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 16 Stebbins Ave, Staten Island, New York |
| Phone Number | 7184480819 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144487802 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 16 Stebbins Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103101638 |
| Phone Number | 7184480819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 04836-1 |
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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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