NPI 1265441992 · live from the CMS NPI Registry
Pamela Brewster, PA
Physician Assistant in New York, NY. National Provider Identifier 1265441992, active.
NPI record
| NPI | 1265441992 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 550 1st Ave, New York, NY 10016 |
| Practice phone | 212-263-7300 |
| Mailing address | Po Box 1951, Saint Raphael Faculty Physicians, Brattleboro, VT 05302 |
| Enumerated | August 5, 2006 |
| Last updated | September 9, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 001610 (CT) |
| Physician Assistant primary | 363A00000X | 010397 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.