Individual
LAURA ANNE SELIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-6000
Mailing address
95 LEXINGTON AVE, 4-D, NEW YORK, NY 10016-8944
(212) 685-7597
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002660
NY
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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