Doctor Name: | MR. ELMER PAREDES |
NPI Number: | 1144393133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPA-C |
License Number: | 009093 |
Business Practice Address: | 15705 Crossbay Blvd Howard Beach, NY - 114142748 |
Business Phone Number: | 7188455252 |
Business Fax Number: | 7188456464 |
Mailing Address: | 7730 171st St, FLUSHING |
State: | NY |
Postal Code: | 113661407 |
Phone Number: | 7189691949 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 009093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |