Individual provider · NPI-1

Lev Aminov, RPA-C

Physician Assistant · Mineola, NY

NPI number1659680890
StatusActive
Last updated in NPPESOct 6, 2010

Details

NPI
1659680890
Entity type
Individual (NPI-1)
Name
Lev Aminov
Credential
RPA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 6, 2010
Last updated
Oct 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant014210-1NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-0333

Mailing address

1325 Pennsylvania Ave
Apt 19g
Brooklyn, NY 11239-1916

Phone 917-497-1966

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