Individual
DAVID CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 GRAND AVE, MASPETH, NY 11378-1523
(718) 457-5900
Mailing address
5902 60TH ST, MASPETH, NY 11378-3234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022770
NY
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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