CRISTIAN D ERAZO VILLA

ASTORIA, NY
NPI1255928008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NJ  25MP00603700)
Additional Taxonomies363AM0700X Physician Assistant Medical
(Licence: NY  026131)
Enumeration Date2020-12-28
Last Update Date2024-08-01
Business Address
CRISTIAN D ERAZO VILLA PA-C
2510 30TH AVE
ASTORIA, NY 11102-2448
Phone number: 718-932-1000
Mailing Address
CRISTIAN D ERAZO VILLA PA-C
2510 30TH AVE
ASTORIA, NY 11102-2448
Phone number: 718-932-1000