Individual
JAMIE HONOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
109 S OXFORD ST # 3, BROOKLYN, NY 11217-1607
(917) 776-8323
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
021841
NY
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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