Organization · Type 2 NPI
Joseph Reale Physician Assistant PC
Surgical Physician Assistant · Kings Park, NY
NPI number
1013147800
Active
Practice location
12 Alfred Ln
Kings Park, NY 11754-5013
Fax (973) 291-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 004677 (NY) |
Surgical Physician Assistant: Definition to come...
About NPI 1013147800
Joseph Reale Physician Assistant PC's National Provider Identifier is 1013147800, issued on Jul 15, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kings Park, NY. The record was last updated on Jul 15, 2009.