Individual provider · Type 1 NPI

Cassandra Shepherd, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1366828196 Active

Practice location

1275 York Ave, Room S-1028
New York, NY 10065-6007

Call (212) 639-3738 Map

Mailing address

3903 48th St
Sunnyside, NY 11104-1021

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X018861 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1366828196

Cassandra Shepherd, PA-C's National Provider Identifier is 1366828196, issued on Aug 4, 2015. 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 Aug 4, 2015.