Individual
MRS. BENEDETTA PRUNELLA LERCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
88-25 153RD STREET, JAMAICA, NY 11432-0000
(718) 558-7239
(718) 459-5349
Mailing address
8 VINE STREET, P. O. BOX 596, GLENWOOD LANDING, NY 11547-0000
(516) 759-2472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003251-1
NY
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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