NPI: 1871766808 · HOLBROOK, NY 11741 · Medical Physician Assistant · NPI assigned 04/10/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 42 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 42 | 42 | $1K |