person
Mr. Preston Darian Totesau-johnson, PA
Medical Physician Assistant in Valley Stream, New York
NPI 1053617324

Preston Darian Totesau-johnson is a Medical Physician Assistant based in Valley Stream, NY and is specialized in Medical. Preston Darian Totesau-johnson practices in Valley Stream, NY and has the professional credentials of PA. The NPI Number for Preston Darian Totesau-johnson is 1053617324 and holds a License No. 014007 (New York).

The current practice location address for Preston Darian Totesau-johnson is 66 Fletcher Ave, Valley Stream, NY and can be reached out via phone at 917-216-1142.

Location: 66 Fletcher Ave, Valley Stream, NY, 11580-4024
person
Provider Profile Details
NPI Number
1053617324
Provider Name
Preston Darian Totesau-johnson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
66 Fletcher Ave, Valley Stream, NY, 11580-4024
Phone Number
917-216-1142
Fax Number
Provider Enumeration Date
02/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
66 Fletcher Ave
City
State
Zip
11580-4024
Phone Number
917-216-1142
Fax Number
person
Provider Business Mailing Address Details
Address
66 Fletcher Ave
City
State
Zip
11580-4024
Phone Number
917-216-1142
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
014007 (New York)
Definition
Definition to come...
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