Individual provider · Type 1 NPI

Ebone Latoya Legall, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1124575824 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X019660 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1124575824

Ebone Latoya Legall, PA-C's National Provider Identifier is 1124575824, issued on Sep 9, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Sep 9, 2016.