Individual
ANNA ECONOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14916 80TH ST, HOWARD BEACH, NY 11414-1108
(718) 845-4844
Mailing address
9201 SHORE RD APT A703, BROOKLYN, NY 11209-8609
(718) 736-4765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021464
NY
Other
Enumeration date
10/09/2017
Last updated
02/04/2021
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