Individual
MS. KATHY LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6846
Mailing address
173 AVENUE B, APT. 1A, NEW YORK, NY 10009-4656
(917) 554-1740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23017327
NY
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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