MR. JUSTO MARTIN CONCEPCION PA
NPI 1942232749
Physician Assistant - Surgical in Dix Hills, NY
Active since July 06, 2006
About Mr. Justo Martin Concepcion Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTO MARTIN CONCEPCION PA (NPI 1942232749) is an individual surgical provider in Dix Hills, New York, licensed in New York (004903) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1942232749
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JUSTO MARTIN CONCEPCIONCredential: PA
Location Address2 WAGON WHEEL LNDix Hills, NY 11746-5017
Mailing Address2 Wagon Wheel LnDix Hills, NY 11746-5017 · (917) 517-5733
Phone(917) 517-5733
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 5, 2014
✔ NPI 1942232749 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 004903
2 WAGON WHEEL LN, Dix Hills, NY 11746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942232749, enumerated as an "individual" on July 06, 2006.
The provider is located at 2 WAGON WHEEL LN DIX HILLS, NY 11746 and the phone number is (917) 517-5733.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
