Most Relevant Information
Provider Data
| NPI Number: | 1003454117 |
| Provider Name: | KAMILIA AIT BELKACEM PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2019 |
| Last Updated: | 03/20/2020 |
Provider Practice Location
2510 30TH AVE
ASTORIA
NY
111022448
Practice Location Phone/Fax
| Phone: | 3478628380 |
| Fax: |
Provider Mailing Location
3811 DITMARS BLVD APT 420
ASTORIA
NY
111051803
Provider Mailing Phone/Fax
| Phone: | 3478628380 |
| Fax: |