Organization
ETK RPA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE T KING (PRESIDENT)
(631) 766-6538
Entity
Organization
Contact information
Practice address
19 FOX TRAIL COURT, AQUEBOGUE, NY 11931-0083
(631) 766-6538
Mailing address
PO BOX 83, AQUEBOGUE, NY 11931-0083
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001662
NY
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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