NPI: 1194998203 · HOLBROOK, NY 11741 · Medical Physician Assistant · NPI assigned 04/09/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $293.72 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $293.72 |