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Individual

ANDREW LARS PARMELEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MSHS

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 630-2000
Mailing address
170 W 74TH ST APT 809, NEW YORK, NY 10023-2354
(860) 299-3424

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
02361901
NY

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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