Individual
MRS. EDNA Y PLEASANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1766 SUNRISE HWY, BAYSHORE, NY 11706
(631) 665-8006
Mailing address
652 SUFFOLK AVE, STE 208, BRENTWOOD, NY 11717-4305
(631) 231-3535
(631) 231-3561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006843
NY
Other
Enumeration date
04/18/2007
Last updated
05/10/2016
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