Individual provider · Type 1 NPI

Russell Javier, PA-C

Surgical Physician Assistant · Brooklyn, NY

NPI number 1306965702 Active

Practice location

4802 10th Avenue, Department Of Orthopaedics
Brooklyn, NY 11219-2923

Mailing address

138 Ogorman Ave
Staten Island, NY 10306-3737

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X007188-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1306965702

Russell Javier, PA-C's National Provider Identifier is 1306965702, issued on Mar 28, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.