Mariam Ismail, PA-C

NPI #1265900344 in Far Rockaway, New York

Provider Information

NPI Number: 1265900344
Entity Type: Individual
Name: Mariam Ismail, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 7, 2018
Last Updated: Nov 7, 2018

Practice Location

Address: 327 BEACH 19TH ST
City: Far Rockaway
State: New York
ZIP Code: 11691-4423
Phone: (631) 514-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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