Joanne Detore in Glens Falls - Physician Assistant
Joanne Detore - NPI 1396724894
Joanne Detore is a Physician Assistant in Glens Falls, New York. Joanne Detore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joanne Detore is 1396724894. The last update date is 2012-06-06.
Joanne Detore's current location address is Po Box 304, Glens Falls, New York. You can contact this provider via phone number 5189261770 and fax number 5189261799. The mailing address for Joanne Detore is Po Box 304, Glens Falls, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne Detore |
|---|---|
| Address | Po Box 304, Glens Falls, New York |
| Phone Number | 5189261770 |
| Fax Number | 5189261799 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396724894 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2012-06-06 |
Provider Mailing Address Detail
| Address | Po Box 304 |
|---|---|
| City | Glens Falls |
| State | New York (NY) |
| Post Code | 128010304 |
| Phone Number | 5189261770 |
| Fax Number | 5189261799 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 6825 |
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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 |
|---|---|---|---|
| P00055451 | NY | RR MEDICARE | |
| 2340921 | NY | -- |
Post Comment/ Review Below
What is the Joanne Detore's unique identification number?
The Joanne Detore has been assigned the NPI (National Provider Identifier) Number 1396724894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Joanne Detore is geographically located?
The Joanne Detore is physically situated at the following location: Po Box 304, Glens Falls, NY, 128010304.
What is Joanne Detore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joanne Detore is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Joanne Detore receive its 1396724894 assignment?
The Joanne Detore was assigned its 1396724894 on 2006-01-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Joanne Detore's details last updated?
The information pertaining to the Joanne Detore, including its address, specialty, and other details, was most recently updated on 2012-06-06.