DAVID C LY

BRIDGEPORT, CT
NPI1982954913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  2793)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  020734)
363A00000X Physician Assistant
(Licence: WA  PA61060288)
Enumeration Date2012-09-18
Last Update Date2021-06-16
Business Address
DAVID C LY PA-C
267 GRANT ST
BRIDGEPORT, CT 06610
Phone number: 203-284-3000
Mailing Address
DAVID C LY PA-C
16 ALLEN PL
NEW HAVEN, CT 06512-1805
Phone number: 714-623-5917