Individual
ARCHANA BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
87 ONEIDA AVE, STATEN ISLAND, NY 10301-4319
(718) 873-7704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0205061
NY
Other
Enumeration date
03/22/2016
Last updated
01/24/2017
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