Individual
HILDA MARLENE LLIGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(917) 729-3760
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005059-1
NY
Other
Enumeration date
01/31/2007
Last updated
02/27/2012
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