Dominic Kanhai Hardatt RPA-C

NPI 1154657393 - Physician Assistant - 363A00000X

NPI Details
NPI 1154657393
Gender Male
Enumeration Date 10/22/2009
Last Updated 04/22/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
374 STOCKHOLM ST
C/O FACULTY PRACTICE MANAGEMENT- SUITE 1-37 NORTH
BROOKLYN NY, 11237-4006, US
Phone (718) 963-6551
Fax
Business Location
374 STOCKHOLM ST
C/O FACULTY PRACTICE MANAGEMENT- SUITE 1-37 NORTH
BROOKLYN NY, 11237-4006, US
Phone (718) 963-6551
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 013530
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According to our database, Dominic Kanhai Hardatt RPA-C NPI is 1154657393, taxonomy code is 363A00000X and license number is 013530, license state is located at New York. Dominic Kanhai Hardatt RPA-C physically located at 374 Stockholm St, Brooklyn NY, 11237-4006. NPI Number Dominic Kanhai Hardatt RPA-C has the Individual type.

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1154657393 NPI number is provided on an as is basis without warranty of any kind. 1154657393 is maintained by the National Plan & Provider Enumeration System. The contents of Dominic Kanhai Hardatt RPA-C are for informational purposes only.