Individual
CAM THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
11 WHARTON LN, CHELTENHAM, PA 19012-1216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030496-01
NY
Other
Enumeration date
09/15/2023
Last updated
10/27/2023
About Stedi
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