Individual provider · Type 1 NPI

Divya Surendran Nair, PA

Medical Physician Assistant · New York, NY

NPI number 1376306084 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

160 Dewey Ave
Albertson, NY 11507-1741

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1376306084

Divya Surendran Nair, PA's National Provider Identifier is 1376306084, issued on Feb 5, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Feb 5, 2024.