Individual
KEVIN PRITCHETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
308 E 175TH ST, BRONX, NY 10457-5804
(718) 960-7618
(718) 901-1118
Mailing address
87 COSSIO DR, NEWARK, NJ 07103-3164
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001026
NY
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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