Christy L Fedorwich in Binghamton - Physician Assistant
Christy L Fedorwich - NPI 1588643472
Christy L Fedorwich is a Physician Assistant in Binghamton, New York. Christy L Fedorwich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christy L Fedorwich is 1588643472. The last update date is 2020-12-30.
Christy L Fedorwich's current location address is 33 Lewis Rd, Binghamton, New York. You can contact this provider via phone number 6077700025 and fax number 6077293986. The mailing address for Christy L Fedorwich is 33 Lewis Rd, Binghamton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christy L Fedorwich |
|---|---|
| Address | 33 Lewis Rd, Binghamton, New York |
| Phone Number | 6077700025 |
| Fax Number | 6077293986 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1588643472 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2020-12-30 |
Provider Mailing Address Detail
| Address | 33 Lewis Rd |
|---|---|
| City | Binghamton |
| State | New York (NY) |
| Post Code | 13905 |
| Phone Number | 6077700025 |
| Fax Number | 6077293986 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1613 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1613 | CT | PHYSICIAN LICENSE | |
| 4236007 | CT | -- | |
| 1064074 | CT | NCCPA LICENSE | |
| 25MP00218800 | NJ | STATE |
Post Comment/ Review Below
What is the Christy L Fedorwich's unique identification number?
The Christy L Fedorwich has been assigned the NPI (National Provider Identifier) Number 1588643472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Christy L Fedorwich?
The Christy L Fedorwich is physically situated at 33 Lewis Rd, in the city of Binghamton, state of NY, with the postal code 13905.
What is the Christy L Fedorwich's specialty and taxonomy code?
The Christy L Fedorwich's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Christy L Fedorwich's 1588643472 issued?
The Christy L Fedorwich's 1588643472 was issued on 2006-01-10.
When was the information related to Christy L Fedorwich most recently updated or refreshed?
The details pertaining to the Christy L Fedorwich, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-30.
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