Individual
MR. JONATHAN PHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3003 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042-1206
(516) 326-2599
Mailing address
3003 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042-1206
(516) 326-2599
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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