Individual
MS. VINITA HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
13620 38TH AVE, SUITE #5H, FLUSHING, NY 11354-4233
(718) 661-9554
(718) 661-9556
Mailing address
136-20 38TH AVENUE, SUITE #5H, FLUSHING, NY 11354
(718) 661-9554
(718) 661-9556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012315
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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