Individual
MR. TERRYL ANDREW ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305-3498
(718) 226-9000
Mailing address
403 COUNTY ROAD 513, CALIFON, NJ 07830
(908) 328-8931
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23006384
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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