Individual provider · Type 1 NPI

Anthony Gerard Conrad Jr., P.A

Surgical Physician Assistant · Staten Island, NY

NPI number 1063723666 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

16 Spruce Meadows Dr
Monroe Township, NJ 08831-3103

Other practice locations

  • 1111 Amsterdam Ave, New York, NY 10025-1716 · (212) 523-4000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPENDING (NY)
Surgical Physician Assistant Primary 363AS0400X014125 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1063723666

Anthony Gerard Conrad Jr., P.A's National Provider Identifier is 1063723666, issued on Jun 29, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Oct 18, 2022.