Individual
DEVON CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1699
(718) 818-1234
Mailing address
425 ORCHARD ST, CRANFORD, NJ 07016-1748
(908) 370-5345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024380
NY
363AM0700X
Medical Physician Assistant
024380
NY
Other
Enumeration date
11/12/2019
Last updated
01/09/2020
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