Individual
JONATHAN TWIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4479
(917) 608-1474
Mailing address
1852 PARK AVE, EAST MEADOW, NY 11554-4007
(917) 608-1474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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