Individual provider · Type 1 NPI

Cristian D. Erazo Villa, PA-C

Medical Physician Assistant · Astoria, NY

NPI number 1255928008 Active

Practice location

2510 30th Ave
Astoria, NY 11102-2448

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X026131 (NY)
Medical Physician Assistant Primary 363AM0700X25MP00603700 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1255928008

Cristian D. Erazo Villa, PA-C's National Provider Identifier is 1255928008, issued on Dec 28, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Astoria, NY. The record was last updated on Aug 1, 2024.