Individual
ASSIA OUILDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 BROADWAY, KINGSTON, NY 12401-5151
(845) 338-7472
(845) 853-1693
Mailing address
365 BROADWAY, KINGSTON, NY 12401-5151
(845) 338-7472
(845) 853-1693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033235
NY
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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