Individual
AVIGAYIL NEUBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
13718 JEWEL AVE, APPT. 1A, FLUSHING, NY 11367-1989
(917) 497-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015326-1
NY
363AS0400X
Surgical Physician Assistant
Primary
015326-1
NY
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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