Individual
KARISA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2490
(408) 230-6888
Mailing address
238 SLOCUM WAY, FORT LEE, NJ 07024-5306
(408) 230-6888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010984-1
NY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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