Individual
MS. MARIE ANGE AUDAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
(718) 869-8622
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(347) 454-8234
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G400038160
—
NY
Enumeration date
12/04/2010
Last updated
12/17/2022
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