Preston Darian Totesau-johnson P.A.

NPI 1053617324 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053617324
Gender Male
Enumeration Date 02/04/2011
Last Updated 02/04/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
66 FLETCHER AVE
VALLEY STREAM NY, 11580-4024, US
Phone (917) 216-1142
Fax
Business Location
66 FLETCHER AVE
VALLEY STREAM NY, 11580-4024, US
Phone (917) 216-1142
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 014007
Remove 1053617324 NPI Number
 

According to our database, Mr. Preston Darian Totesau-johnson P.A. NPI is 1053617324, taxonomy code is 363AM0700X and license number is 014007, license state is located at New York. Preston Darian Totesau-johnson P.A. physically located at 66 Fletcher Ave, Valley Stream NY, 11580-4024. NPI Number Preston Darian Totesau-johnson P.A. has the Individual type.

Sponsored links

1053617324 NPI number is provided on an as is basis without warranty of any kind. 1053617324 is maintained by the National Plan & Provider Enumeration System. The contents of Preston Darian Totesau-johnson P.A. are for informational purposes only.