Woodhull Medical Group

NPI #1053474395 in Brooklyn, New York

Provider Information

NPI Number: 1053474395
Entity Type: Organization
Organization Name: Woodhull Medical Group
Primary Specialty: Physician Assistant
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 760 BROADWAY
City: Brooklyn
State: New York
ZIP Code: 11206-5317
Phone: (718) 963-5735

Authorized Official

Name: MS. RITICIA CHRISTINE AUGUSTY, P.A.
Title: PHYSICIAN ASSISTANT
Phone: 17189837808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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