Ingrid Defreitas PA

NPI 1164542148 - Physician Assistant - 363AM0700X

NPI Details
NPI 1164542148
Gender Female
Enumeration Date 03/31/2007
Last Updated 10/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3175 23RD ST
ASTORIA NY, 11106-4134, US
Phone (516) 542-6880
Fax (516) 542-5556
Business Location
3175 23RD ST
ASTORIA NY, 11106-4134, US
Phone (516) 542-6880
Fax (516) 542-5556
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 010128
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According to our database, Ingrid Defreitas PA NPI is 1164542148, taxonomy code is 363AM0700X and license number is 010128, license state is located at New York. Ingrid Defreitas PA physically located at 3175 23rd St, Astoria NY, 11106-4134. NPI Number Ingrid Defreitas PA has the Individual type.

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1164542148 NPI number is provided on an as is basis without warranty of any kind. 1164542148 is maintained by the National Plan & Provider Enumeration System. The contents of Ingrid Defreitas PA are for informational purposes only.