Registered Physician Assistant First Assist PC

NPI #1164753182 in Briarwood, New York

Provider Information

NPI Number
1164753182
Entity Type
Organization
Organization Name
Registered Physician Assistant First Assist PC
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Jan 15, 2010
Last Updated
Jan 15, 2010

Practice Location

Address
13876 QUEENS BLVD
Address 2
1ST FLOOR
ZIP Code
11435-2930
Phone
(718) 850-6345

Authorized Official

Name
MR. GENNADIY SHAMALOV, RPA-C
Title
PHYSICIAN ASSISTANT
Phone
(917) 709-4733

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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