Individual
PAMELA M LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-4642
(212) 939-3536
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
020773
NY
Other
Enumeration date
04/19/2017
Last updated
04/21/2017
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