Briana Wick, PA-C
Physician Assistant in Islandia, NY. Individual provider (NPI-1).
NPI number1306587175
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1306587175
- Entity type
- Individual (NPI-1)
- Name
- Briana Wick
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Apr 5, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 025225 | NY | Yes |
Practice location
1726 Veterans Memorial HwyIslandia, NY 11749-1512
Phone 631-600-7878
Mailing address
224 Grant StMassapequa Park, NY 11762-1520
Phone 516-557-5003
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