Individual
ANTONIO NUMA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 FIESTA CT, HEWLETT, NY 11557-1001
(347) 393-0307
Mailing address
5 FIESTA CT, HEWLETT, NY 11557-1001
(516) 812-9281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
442-P.A.
PR
363AM0700X
Medical Physician Assistant
442-PA
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442-PA
OTHER
NY
Enumeration date
09/14/2019
Last updated
01/20/2023
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