NPI 1003080482

Pedro Xavier Palacios, PAC

Practitioner Medical Physician Assistant Flushing, NY

Practice location

Address: 5645 Main St, Flushing, NY 11355-5045
Phone: (718) 670-1000
Mailing address: 171 E 17th St, Huntington Station, NY 11746-3028

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 012524 (NY)

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Registry record

NPI: 1003080482
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2008
Record last updated: 10 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.