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Individual

TRAVIS REDDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(800) 420-4004
Mailing address
57 TYLER AVE, WEST SAYVILLE, NY 11796-1714
(631) 987-8206

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/27/2017
Last updated
06/27/2017
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