Provider Demographics
NPI:1619738119
Name:MCDONALD, SIGMUND ANDRE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SIGMUND
Middle Name:ANDRE
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:SIGMUND
Other - Middle Name:ANDRE
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:26 NEWELL ST APT 3L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-4014
Mailing Address - Country:US
Mailing Address - Phone:347-834-2929
Mailing Address - Fax:
Practice Address - Street 1:26 NEWELL ST APT 3L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-4014
Practice Address - Country:US
Practice Address - Phone:347-834-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical