Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ebone Latoya Legall, PA-C

Individual provider Surgical Physician Assistant · NPI 1124575824

Ebone Latoya Legall, PA-C is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 019660 (NY)

Record details

NPI number1124575824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2016
Last updated in NPPESSeptember 9, 2016

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