Individual
YAMPU MARY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3378
(718) 334-5006
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3378
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
024883
NY
Other
Enumeration date
07/19/2020
Last updated
08/26/2024
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