Individual
AVIVA H PEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
13776 70TH AVE, APT 2, FLUSHING, NY 11367-1926
(305) 332-7335
Mailing address
137 76 70TH AVE, APT #2, FLUSHING, NY 11367
(305) 332-7335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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