Registered Physician Assistant First Assist Pc

NPI 1164753182 - Physician Assistant - 363AS0400X

NPI Details
NPI 1164753182
Enumeration Date 01/15/2010
Last Updated 01/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GENNADIY GENNADIY
Position PHYSICIAN ASSISTANT
Phone (718) 850-6345
Fax
Practice Location
13876 QUEENS BLVD
1ST FLOOR
BRIARWOOD NY, 11435-2930, US
Phone (718) 850-6345
Fax
Business Location
14123 HOOVER AVE
BRIARWOOD NY, 11435-1109, US
Phone (917) 709-4733
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 008219
Remove 1164753182 NPI Number
 

According to our database, Registered Physician Assistant First Assist Pc NPI is 1164753182, taxonomy code is 363AS0400X and license number is 008219, license state is located at New York. Registered Physician Assistant First Assist Pc physically located at 13876 Queens Blvd, Briarwood NY, 11435-2930. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1164753182 NPI number is provided on an as is basis without warranty of any kind. 1164753182 is maintained by the National Plan & Provider Enumeration System. The contents of Registered Physician Assistant First Assist Pc are for informational purposes only.