Individual
LIBBY A LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C, MPA
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 470-7000
Mailing address
12 MYLES CT, COMMACK, NY 11725-1781
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016277-1
NY
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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