Individual
PAMELA GREGORY-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7815 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1300
(718) 458-8944
Mailing address
94 POPPY AVE, FRANKLIN SQUARE, NY 11010-3716
(516) 481-9030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23 003220
NY
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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