Individual provider · Type 1 NPI
Trevor Golbourne
Surgical Physician Assistant · New York, NY
NPI number
1205051216
Active
Practice location
1000 10th Ave, 10G
New York, NY 10019-1147
Fax (212) 636-3296
Mailing address
618 Powells Ln
Westbury, NY 11590-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 005726 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1205051216
Trevor Golbourne's National Provider Identifier is 1205051216, issued on Apr 16, 2007. 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 Jul 8, 2007.