Individual
ERIC GALEN LE CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
114 W 17TH ST, NEW YORK, NY 10011-5433
(212) 321-7003
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023287
NY
363A00000X
Physician Assistant
25MP00498600
NJ
Other
Enumeration date
11/24/2018
Last updated
02/08/2023
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