Herne Nozius RPA-C

NPI 1003940487 - Physician Assistant - 363A00000X

NPI Details
NPI 1003940487
Gender Male
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
111 E 210TH ST
BRONX NY, 10467-2401, US
Phone (718) 920-6378
Fax
Business Location
14213 232ND ST
SPRINGFIELD GARDENS NY, 11413-3631, US
Phone (718) 528-9323
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 011779
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According to our database, Herne Nozius RPA-C NPI is 1003940487, taxonomy code is 363A00000X and license number is 011779, license state is located at New York. Herne Nozius RPA-C physically located at 111 E 210th St, Bronx NY, 10467-2401. NPI Number Herne Nozius RPA-C has the Individual type.

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1003940487 NPI number is provided on an as is basis without warranty of any kind. 1003940487 is maintained by the National Plan & Provider Enumeration System. The contents of Herne Nozius RPA-C are for informational purposes only.