Geovanna Paola Erazo Villegas, PA

NPI #1760875272 in Briarwood, New York

Provider Information

NPI Number: 1760875272
Entity Type: Individual
Name: Geovanna Paola Erazo Villegas, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 8, 2015
Last Updated: Aug 27, 2016

Practice Location

Address: 14128 84TH DR
Address 2: APT 6G
City: Briarwood
State: New York
ZIP Code: 11435-2413
Phone: (516) 287-0493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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