Individual provider · Type 1 NPI
Yonette R. Hercules, PA
Medical Physician Assistant · New York, NY
NPI number
1518007152
Active
Practice location
One Penn Plaza, 7th Fl, Suite 725
New York, NY 10119
Mailing address
14603 221st St
Springfield Gardens, NY 11413-3834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 009255-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1518007152
Yonette R. Hercules, PA's National Provider Identifier is 1518007152, issued on Feb 6, 2007. 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 May 20, 2014.