Shang A Lew PA

NPI 1770665945 - Physician Assistant - 363A00000X

NPI Details
NPI 1770665945
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
MMC - DEPT. OF SURGERY
111 EAST 210TH STREET
BRONX NY, 10467, US
Phone (718) 920-4459
Fax
Business Location
522 WASHINGTON ST
PEEKSKILL NY, 10566-4532, US
Phone (718) 920-4459
Fax (718) 547-4773
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 000452
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According to our database, Shang A Lew PA NPI is 1770665945, taxonomy code is 363A00000X and license number is 000452, license state is located at New York. Shang A Lew PA physically located at Mmc - Dept. Of Surgery, Bronx NY, 10467. NPI Number Shang A Lew PA has the Individual type.

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1770665945 NPI number is provided on an as is basis without warranty of any kind. 1770665945 is maintained by the National Plan & Provider Enumeration System. The contents of Shang A Lew PA are for informational purposes only.