Individual provider · Type 1 NPI
Antaeya Nyree Foster, PA-C
Surgical Physician Assistant · Pomona, NY
NPI number
1760769152
Active
Practice location
31 Halley Dr
Pomona, NY 10970-2001
Fax (845) 354-7735
Mailing address
170 Williams Street, 7th Floor
New York, NY 10038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 014459 (NY) |
Surgical Physician Assistant: Definition to come...
About NPI 1760769152
Antaeya Nyree Foster, PA-C's National Provider Identifier is 1760769152, issued on Nov 14, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pomona, NY. The record was last updated on Feb 8, 2018.