INGRID DEFREITAS

ASTORIA, NY
NPI1164542148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  010128)
Enumeration Date2007-03-31
Last Update Date2012-10-19
Business Address
-- INGRID DEFREITAS PA
3175 23RD ST
ASTORIA, NY 11106-4134
Phone number: 516-542-6880
Mailing Address
-- INGRID DEFREITAS PA
3175 23RD ST
ASTORIA, NY 11106-4134
Phone number: 516-542-6880
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