JOHN BOSWORTH

ASTORIA, NY
NPI1780814947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  005532)
Enumeration Date2009-07-22
Last Update Date2009-07-22
Business Address
Mr. JOHN BOSWORTH RPA
4904 19TH AVE
ASTORIA, NY 11105-1002
Phone number: 718-777-3494
Mailing Address
Mr. JOHN BOSWORTH RPA
4904 19TH AVE
ASTORIA, NY 11105-1002
Phone number: 718-777-3494