Individual
MR. ROBY ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8319 267TH ST, FLORAL PARK, NY 11004-1717
(718) 926-0477
Mailing address
8319 267TH ST, FLORAL PARK, NY 11004-1717
(718) 926-0477
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018950
NY
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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