Organization · Type 2 NPI
Etk Rpa, PC
Surgical Physician Assistant · Aquebogue, NY
NPI number
1265488027
Active
Practice location
19 Fox Trail Court
Aquebogue, NY 11931-0083
Mailing address
PO Box 83
Aquebogue, NY 11931-0083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 001662 (NY) |
Surgical Physician Assistant: Definition to come...
About NPI 1265488027
Etk Rpa, PC's National Provider Identifier is 1265488027, issued on May 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aquebogue, NY. The record was last updated on Aug 22, 2020.