Individual
CHRISTOPHER SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
27005 76TH AVE, SUITE 0-4000, NEW HYDE PARK, NY 11040-1402
(718) 470-7460
Mailing address
27005 76TH AVE, SUITE 0-4000, NEW HYDE PARK, NY 11040-1402
(718) 470-7460
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011360
NY
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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