NPI Profile for ALBERTO I DISLA in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Orthopaedic Assistant |
246ZX2200X |
| NPI # | 1659240893 |
|
| Status | Active | |
| Credentials | RSA, OPA-C | |
| Entity | Individual | |
| Enumeration date | 11/04/2025 | |
| Last updated | 11/04/2025 - About 7 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALBERTO I DISLA
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