Petr Perduk PA

NPI 1285852863 - Physician Assistant - 363A00000X

NPI Details
NPI 1285852863
Gender Male
Enumeration Date 04/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1 BROOKDALE PLZ
PROVIDER ENROLLMENT
BROOKLYN NY, 11212-3139, US
Phone (718) 240-5180
Fax
Business Location
80 MARCUS DR
PROVIDER ENROLLMENT
MELVILLE NY, 11747-4230, US
Phone (631) 391-7889
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 005353
Remove 1285852863 NPI Number
 

According to our database, Petr Perduk PA NPI is 1285852863, taxonomy code is 363A00000X and license number is 005353, license state is located at New York. Petr Perduk PA physically located at 1 Brookdale Plz, Brooklyn NY, 11212-3139. NPI Number Petr Perduk PA has the Individual type.

Sponsored links

1285852863 NPI number is provided on an as is basis without warranty of any kind. 1285852863 is maintained by the National Plan & Provider Enumeration System. The contents of Petr Perduk PA are for informational purposes only.