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Angelica Lyte, PA

Physician Assistant, Medical in Jamaica, NY. Individual provider (NPI-1).

NPI number1003133752
StatusActive
Last updated in NPPESApr 21, 2010

Details

NPI
1003133752
Entity type
Individual (NPI-1)
Name
Angelica Lyte
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2010
Last updated
Apr 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical013786NYYes

Practice location

14520 106th Ave
Jamaica, NY 11435-5004

Phone 917-674-2842

Mailing address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Phone 718-616-4387

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