NPI: 1669563136 · ISLANDIA, NY 11749 · Physician Assistant · NPI assigned 09/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $348.47 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $348.47 |