FANNY OK

NEW YORK, NY
NPI1912525833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025299)
Enumeration Date2020-07-07
Last Update Date2023-05-10
Business Address
FANNY OK PA-C
622 W 168TH ST RM VC-260
NEW YORK, NY 10032-3720
Phone number: 212-305-6059
Mailing Address
FANNY OK PA-C
622 W 168TH ST RM VC-260
NEW YORK, NY 10032-3720
Phone number: 212-305-6059
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