Individual
EDWINA PAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5110
Mailing address
8931 198TH ST, HOLLIS, NY 11423-2120
(917) 232-9740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016484-1
NY
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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