Provider Demographics
NPI:1003212994
Name:PRECISION PHYSICIANS ASSISTANT
Entity Type:Organization
Organization Name:PRECISION PHYSICIANS ASSISTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HALKIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-843-8657
Mailing Address - Street 1:149 DUPONT ST
Mailing Address - Street 2:APT1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-1279
Mailing Address - Country:US
Mailing Address - Phone:347-450-5672
Mailing Address - Fax:
Practice Address - Street 1:149 DUPONT ST
Practice Address - Street 2:APT1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1279
Practice Address - Country:US
Practice Address - Phone:347-450-5672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty