Doctor Name: | MS. YASMIN S NGALA-EL |
NPI Number: | 1093899833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 009743-1 |
Business Practice Address: | 4 Jason Ct Dix Hills, NY - 117465839 |
Business Phone Number: | 5163060856 |
Business Fax Number: | |
Mailing Address: | 4 Jason Ct, DIX HILLS |
State: | NY |
Postal Code: | 117465839 |
Phone Number: | 5163060856 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 08/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 009743-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |