Individual
DAVID A PONTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 267-4245
Mailing address
2554 37TH ST, ASTORIA, NY 11103-4247
(917) 450-7986
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008960
NY
Other
Enumeration date
10/25/2006
Last updated
10/09/2009
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