Individual
PATRICIA LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2310 30TH ST, LONG ISLAND CITY, NY 11102
(718) 267-4251
Mailing address
4242 80TH ST, APT. 3Y, ELMHURST, NY 11373-3064
(323) 542-4138
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016367-1
NY
Other
Enumeration date
02/25/2013
Last updated
02/05/2021
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