Annie Su PA-C

NPI 1740668813 - Physician Assistant - 363AM0700X

NPI Details
NPI 1740668813
Gender Female
Enumeration Date 05/11/2015
Last Updated 03/27/2016
Entity Type Individual
Active Over 1 year ago
Practice Location
2510 30TH AVE
ASTORIA NY, 11102-2448, US
Phone (718) 932-1000
Fax
Business Location
2510 30TH AVE
ASTORIA NY, 11102-2448, US
Phone (718) 932-1000
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 018531-1
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According to our database, Ms. Annie Su PA-C NPI is 1740668813, taxonomy code is 363AM0700X and license number is 018531-1, license state is located at New York. Annie Su PA-C physically located at 2510 30th Ave, Astoria NY, 11102-2448. NPI Number Annie Su PA-C has the Individual type.

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1740668813 NPI number is provided on an as is basis without warranty of any kind. 1740668813 is maintained by the National Plan & Provider Enumeration System. The contents of Annie Su PA-C are for informational purposes only.