Individual
ALISTER COBHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Mailing address
536 6TH AVE, BROOKLYN, NY 11215-4929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004719
NY
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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