Individual provider · Type 1 NPI

David C. Ly, PA-C

Medical Physician Assistant · Bridgeport, CT

NPI number 1982954913 Active

Practice location

267 Grant St
Bridgeport, CT 06610

Call (203) 284-3000 Map

Mailing address

16 Allen Pl
New Haven, CT 06512-1805

Other practice locations

  • Elm And Carlton Streets, Buffalo, NY 14263-0001 · (716) 845-2300
  • 888 Swift Blvd, Richland, WA 99352-3514 · (509) 942-2648

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X020734 (NY)
Physician Assistant 363A00000XPA61060288 (WA)
Medical Physician Assistant Primary 363AM0700X2793 (CT)

Medical Physician Assistant: Definition to come...

598 other providers at this address

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About NPI 1982954913

David C. Ly, PA-C's National Provider Identifier is 1982954913, issued on Sep 18, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 16, 2021.