Individual
HEROLD LESSAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292511700
—
FL
Enumeration date
05/10/2006
Last updated
04/25/2023
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