Jeffrey R Wadler in Ellenville - Physician Assistant
Jeffrey R Wadler - NPI 1922108760
Jeffrey R Wadler is a Physician Assistant in Ellenville, New York. Jeffrey R Wadler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey R Wadler is 1922108760. The last update date is 2010-06-17.
Jeffrey R Wadler's current location address is 52 Shoprite Blvd, Ellenville, New York. You can contact this provider via phone number 8456476400. The mailing address for Jeffrey R Wadler is 52 Shoprite Blvd, Ellenville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R Wadler |
|---|---|
| Address | 52 Shoprite Blvd, Ellenville, New York |
| Phone Number | 8456476400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1922108760 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2010-06-17 |
Provider Mailing Address Detail
| Address | 52 Shoprite Blvd |
|---|---|
| City | Ellenville |
| State | New York (NY) |
| Post Code | 124285632 |
| Phone Number | 8456476400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4902 |
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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 |
|---|---|---|---|
| 1554883 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey R Wadler by the Centers for Medicare & Medicaid Services?
The Jeffrey R Wadler has been issued the NPI (National Provider Identifier) 1922108760, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffrey R Wadler is geographically located?
The Jeffrey R Wadler is physically situated at the following location: 52 Shoprite Blvd, Ellenville, NY, 124285632.
What is Jeffrey R Wadler's area of expertise and its corresponding taxonomy classification?
The Jeffrey R Wadler's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1922108760 assigned to Jeffrey R Wadler?
The Jeffrey R Wadler was issued its 1922108760 on 2006-09-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeffrey R Wadler, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey R Wadler, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-17.