Dylan O'Rourke in Hicksville - Physician Assistant

Dylan O'Rourke - NPI 1083606784

Dylan O'Rourke is a Physician Assistant in Hicksville, New York. Dylan O'Rourke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dylan O'Rourke is 1083606784. The last update date is 2019-11-12.

Dylan O'Rourke's current location address is 81 N Broadway, Hicksville, New York. You can contact this provider via phone number 5169334350 and fax number 5169334352. The mailing address for Dylan O'Rourke is 81 N Broadway, Hicksville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Dylan O'Rourke
Address 81 N Broadway, Hicksville, New York
Phone Number 5169334350
Fax Number 5169334352
Sole Proprietor N
Credentials R-PAC

NPI Number Detail

NPI Number 1083606784
Provider Enumeration Date 2005-08-18
Last Updated Date 2019-11-12

Provider Mailing Address Detail

Address 81 N Broadway
City Hicksville
State New York (NY)
Post Code 118012920
Phone Number 5169334350
Fax Number 5169334352

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 8867
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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FAQs about Dylan O'Rourke

Could you please provide the complete street address where Dylan O'Rourke is physically located?

The Dylan O'Rourke is physically situated at the following address: 81 N Broadway, Hicksville, NY, 118012920.

What is the Dylan O'Rourke's area of specialization and corresponding taxonomy classification?

The Dylan O'Rourke'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 Dylan O'Rourke receive its 1083606784?

The Dylan O'Rourke was issued its 1083606784 on 2005-08-18, which is the date when the organization was assigned this unique identifier.

On what date did the Dylan O'Rourke receive its 1083606784 assignment from the Centers for Medicare & Medicaid Services?

The Dylan O'Rourke was assigned its 1083606784 by the Centers for Medicare & Medicaid Services on 2005-08-18.

As of what date were the Dylan O'Rourke's details last updated?

The information pertaining to the Dylan O'Rourke, including its address, specialty, and other details, was most recently updated on 2019-11-12.

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