Individual
MR. ADAM LEE NAILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3050
Mailing address
2084 28TH ST, APT 1C, ASTORIA, NY 11105-2945
(347) 528-0323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011212
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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