Organization · Type 2 NPI

LL Physician Assistant PC

Surgical Physician Assistant · Brooklyn, NY

NPI number 1831736602 Active

Practice location

2279 Coney Island Ave Fl 2
Brooklyn, NY 11223-3337

Mailing address

452 Slosson Ave
Staten Island, NY 10314-5445

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1831736602

LL Physician Assistant PC's National Provider Identifier is 1831736602, issued on Nov 29, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 29, 2019.