IndividualActive
Alberto Disla, RSA, OPA-C
NPI 1659240893 · Surgical Physician Assistant · New York, NY
Provider details
- NPI number
- 1659240893
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RSA, OPA-C
- Sex
- Male
- Sole proprietor
- No
- License
- O000272-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
740 Broadway Ste 605
New York, NY 10003-9518
Phone: (212) 605-1367
Approximate (ZIP-level) locationGet directions
Mailing address
740 Broadway Ste 605
New York, NY 10003-9518
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
- Certified
- 2025-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.