Individual
EKAETE ANIETIE EKPENYONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
79-01 BROADWAY, ELMHURST HOSPITAL CENTER, ELMHURST, NY 11373
(718) 334-3556
(718) 334-3557
Mailing address
79-01 BROADWAY, ELMHURST HOSPITAL CENTER, ELMHURST, NY 11373
(718) 334-3556
(718) 334-3557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019275
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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