Individual
MRS. DEBORAH MARTIN-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
(212) 932-8323
Mailing address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
(212) 932-8323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00318
NC
363A00000X
Physician Assistant
Primary
013186
NY
Other
Enumeration date
04/03/2006
Last updated
12/07/2009
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