Jeannine Misutka Dodds in Cincinnatus - Physician Assistant
Jeannine Misutka Dodds - NPI 1043412976
Jeannine Misutka Dodds is a Physician Assistant in Cincinnatus, New York. Jeannine Misutka Dodds practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeannine Misutka Dodds is 1043412976. The last update date is 2022-04-28.
Jeannine Misutka Dodds's current location address is 2809 Cincinnatus Rd, Cincinnatus, New York. You can contact this provider via phone number 6078633200 and fax number 6078633455. The mailing address for Jeannine Misutka Dodds is 2809 Cincinnatus Rd, Cincinnatus, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeannine Misutka Dodds |
---|---|
Address | 2809 Cincinnatus Rd, Cincinnatus, New York |
Phone Number | 6078633200 |
Fax Number | 6078633455 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1043412976 |
---|---|
Provider Enumeration Date | 2007-06-04 |
Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
Address | 2809 Cincinnatus Rd |
---|---|
City | Cincinnatus |
State | New York (NY) |
Post Code | 130409685 |
Phone Number | 6078633200 |
Fax Number | 6078633455 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 12300 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3433754 | NY | -- |
Post Comment/ Review Below
What is the Jeannine Misutka Dodds's 1043412976?
The Jeannine Misutka Dodds's NPI (National Provider Identifier) Number is 1043412976. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeannine Misutka Dodds is physically located?
The Jeannine Misutka Dodds is situated at the following address: 2809 Cincinnatus Rd, Cincinnatus, NY 130409685.
What is the Jeannine Misutka Dodds's area of specialization and corresponding taxonomy classification?
The Jeannine Misutka Dodds's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043412976 to Jeannine Misutka Dodds?
The Centers for Medicare & Medicaid Services originally issued the 1043412976 to Jeannine Misutka Dodds on 2007-06-04.
As of what date were the Jeannine Misutka Dodds's details last updated?
The information pertaining to the Jeannine Misutka Dodds, including its address, specialty, and other details, was most recently updated on 2022-04-28.