Individual
MR. ANDREW MARK PASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(212) 420-4266
Mailing address
4309 56TH ST, WOODSIDE, NY 11377-4738
(718) 683-8809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016395
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VP84733Y
—
NY
Enumeration date
01/31/2013
Last updated
03/08/2014
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