Individual
MS. AVIVA FROMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
70 HATFIELD LN, SUITE 204, GOSHEN, NY 10924-6734
(845) 291-1260
(845) 294-2312
Mailing address
31 PENNINGTON WAY, NEW HEMPSTEAD, NY 10977-1418
(845) 362-0527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011742
NY
363AM0700X
Medical Physician Assistant
029400
NJ
Other
Enumeration date
03/09/2007
Last updated
10/02/2013
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