Individual
DARRELL J SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER, STATEN ISLAND, NY 10310-1664
(718) 818-1117
Mailing address
PO BOX 537, LIVINGSTON, NJ 07039-0537
(800) 354-0064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012205
NY
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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