Lisa F Petraccione in Latham - Physician Assistant
Lisa F Petraccione - NPI 1639280332
Lisa F Petraccione is a Physician Assistant in Latham, New York. Lisa F Petraccione practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa F Petraccione is 1639280332. The last update date is 2018-01-26.
Lisa F Petraccione's current location address is 711 Troy Schenectady Rd Ste 203, Latham, New York. You can contact this provider via phone number 5187823700 and fax number 5187823799. The mailing address for Lisa F Petraccione is 711 Troy Schenectady Rd Ste 203, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa F Petraccione |
|---|---|
| Address | 711 Troy Schenectady Rd Ste 203, Latham, New York |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1639280332 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2018-01-26 |
Provider Mailing Address Detail
| Address | 711 Troy Schenectady Rd Ste 203 |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121102461 |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4441 |
|
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 |
|---|---|---|---|
| 498833001 | NY | BSNENY | |
| 70507000057 | NY | FIDELIS | |
| 2215098 | NY | -- | |
| 356367 | NY | MVP HEALTHCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa F Petraccione by the Centers for Medicare & Medicaid Services?
The Lisa F Petraccione has been issued the NPI (National Provider Identifier) 1639280332 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lisa F Petraccione's facilities are geographically located?
The facilities of Lisa F Petraccione are physically situated at the following location: 711 Troy Schenectady Rd Ste 203, Latham, NY, 121102461.
What is Lisa F Petraccione's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa F Petraccione's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Lisa F Petraccione receive its 1639280332 assignment?
The Lisa F Petraccione was assigned its 1639280332 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the Lisa F Petraccione's details last updated?
The information pertaining to the Lisa F Petraccione, including its address, specialty, and other details, was most recently updated on 2018-01-26.