REGISTERED PHYSICIAN ASSISTANT FIRST ASSIST PC
Nursing at Queens Blvd, Jamaica, NY

License number
New York 008219
Category
Nursing
Type
Surgical
Owner
Name: MR. GENNADIY SHAMALOV RPA-C
Title: PHYSICIAN ASSISTANT
Phone: (917) 709-4733
Address
Address
13876 Queens Blvd FLOOR 1ST, Jamaica, NY 11435
National Provider ID: 1164753182
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REGISTERED PHYSICIAN ASSISTANT FIRST ASSIST PC

Jamaica, NY

Industry:
Medical Doctor's Office
Registration:
Oct 13, 2009
Addresses:
141-23 Hoover Ave, Jamaica, NY 11435 (Physical)
14123 Hoover Ave, Jamaica, NY 11435
State ID:
3866710
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Physician Assistants:
Gennadry Shamalov (Physician Assistant, Principal), 141-23 Hoover Ave, Jamaica, NY 11435 (Physical),Gennadiy Shamalov (Physician Assistant)

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