MR. Edward A Wansor, PA-C

NPI #1346595923 in Calverton, New York

Provider Information

NPI Number
1346595923
Entity Type
Individual
Name
MR. Edward A Wansor, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jul 19, 2012
Last Updated
Jul 19, 2012

Practice Location

Address
29 PHEASANT LN
ZIP Code
11933-1326
Phone
(631) 338-3282

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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