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

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X004677 (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.