Individual
MR. EDWARD PERCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7741
Mailing address
53 NEW LN, STATEN ISLAND, NY 10305-3105
(718) 447-6750
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008650-1
NY
Other
Enumeration date
04/05/2007
Last updated
11/15/2017
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