Logan Michael Handwerk, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1164031878
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1164031878
- Entity type
- Individual (NPI-1)
- Name
- Logan Michael Handwerk
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2020
- Certification date
- Apr 1, 2021
- Last updated
- Mar 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
147 W 25th St Fl 10New York, NY 10001-7265
Phone 212-253-2968 · Fax 212-253-2953
Mailing address
147 W 25th St Fl 10New York, NY 10001-7265
Phone 212-253-2968 · Fax 212-253-2953
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