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Individual
PATRICIA J BRIMS
Active
Individual
PATRICIA J BRIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010992
NY
363AM0700X
Medical Physician Assistant
010992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010992
NY STATE LICENSE
NY
Enumeration date
10/06/2006
Last updated
03/17/2018
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