FOREST GREEN, PA
Physician Assistant
Active
Individual
NPI: 1477242428
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 030407 (NY) |
Frequently Asked Questions
NPI 1477242428 is the National Provider Identifier for FOREST GREEN, PA, a Physician Assistant provider located in Bronx, NY. This NPI was enumerated on May 4, 2023.
FOREST GREEN, PA practices at 2015 GRAND CONCOURSE, Bronx, NY 10453.
Quick Facts
- NPI
- 1477242428
- Type
- Individual
- Enumerated
- May 4, 2023
- Last Updated
- Sep 5, 2025
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