Individual provider · Type 1 NPI

Siamak Tadayon, PAC

Surgical Physician Assistant · Ny, NY

NPI number 1366596272 Active

Practice location

1901 First Av., Metropolitan Hospital Surgery Dep.
Ny, NY 10029

Mailing address

7139 Sutton Pl, 1st Floor
Fresh Meadows, NY 11365-4135

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X008794-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1366596272

Siamak Tadayon, PAC's National Provider Identifier is 1366596272, issued on Jan 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ny, NY. The record was last updated on Jul 8, 2007.