Debra Sue Longbine in Derby - Physician Assistant
Debra Sue Longbine - NPI 1679562664
Debra Sue Longbine is a Physician Assistant in Derby, New York. Debra Sue Longbine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Debra Sue Longbine is 1679562664. The last update date is 2017-04-07.
Debra Sue Longbine's current location address is 6970 Erie Rd, Derby, New York. You can contact this provider via phone number 7169479147 and fax number 7169475175. The mailing address for Debra Sue Longbine is 6970 Erie Rd, Derby, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Sue Longbine |
|---|---|
| Address | 6970 Erie Rd, Derby, New York |
| Phone Number | 7169479147 |
| Fax Number | 7169475175 |
| Sole Proprietor | N |
| Credentials | RPA C |
NPI Number Detail
| NPI Number | 1679562664 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2017-04-07 |
Provider Mailing Address Detail
| Address | 6970 Erie Rd |
|---|---|
| City | Derby |
| State | New York (NY) |
| Post Code | 140479591 |
| Phone Number | 7169479147 |
| Fax Number | 7169475175 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1449 |
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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 |
|---|---|---|---|
| 570049002 | NY | BCBS OF WNY | |
| 1429712 | NY | -- | |
| 9512214 | NY | INDEPENDENT HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Debra Sue Longbine by the Centers for Medicare & Medicaid Services?
The Debra Sue Longbine has been issued the NPI (National Provider Identifier) 1679562664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Debra Sue Longbine is physically located?
The Debra Sue Longbine is physically situated at the following address: 6970 Erie Rd, Derby, NY, 140479591.
What is the Debra Sue Longbine's area of specialization and corresponding taxonomy classification?
The Debra Sue Longbine's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Debra Sue Longbine receive its 1679562664?
The Debra Sue Longbine was issued its 1679562664 on 2005-10-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Debra Sue Longbine's details last updated?
The information pertaining to the Debra Sue Longbine, including its address, specialty, and other details, was most recently updated on 2017-04-07.
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