Individual
MISS AGELTA ARQIMANDRITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019
(212) 523-4000
Mailing address
1828 PUTNAM AVE, #1R, RIDGEWOOD, NY 11385
(718) 628-1395
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012869
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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