Chandia Ellen Jackson-Hodges in New Hyde Park - Physician Assistant
Chandia Ellen Jackson-Hodges - NPI 1962671446
Chandia Ellen Jackson-Hodges is a Physician Assistant in New Hyde Park, New York. Chandia Ellen Jackson-Hodges practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chandia Ellen Jackson-Hodges is 1962671446. The last update date is 2008-02-28.
Chandia Ellen Jackson-Hodges's current location address is 410 Lakeville Rd, New Hyde Park, New York. You can contact this provider via phone number 7184707644. The mailing address for Chandia Ellen Jackson-Hodges is 410 Lakeville Rd, New Hyde Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chandia Ellen Jackson-Hodges |
|---|---|
| Address | 410 Lakeville Rd, New Hyde Park, New York |
| Phone Number | 7184707644 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1962671446 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | 410 Lakeville Rd |
|---|---|
| City | New Hyde Park |
| State | New York (NY) |
| Post Code | 110421101 |
| Phone Number | 7184707644 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11057 |
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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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What is the unique 10-digit identification code issued to Chandia Ellen Jackson-Hodges by the Centers for Medicare & Medicaid Services?
The Chandia Ellen Jackson-Hodges has been assigned the NPI (National Provider Identifier) 1962671446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Chandia Ellen Jackson-Hodges is physically located?
The Chandia Ellen Jackson-Hodges is physically situated at the following address: 410 Lakeville Rd, New Hyde Park, NY, 110421101.
What is the area of specialization for Chandia Ellen Jackson-Hodges, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chandia Ellen Jackson-Hodges is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Chandia Ellen Jackson-Hodges receive its 1962671446 assignment from the Centers for Medicare & Medicaid Services?
The Chandia Ellen Jackson-Hodges was assigned its 1962671446 on 2008-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Chandia Ellen Jackson-Hodges last refreshed?
The information related to the Chandia Ellen Jackson-Hodges, including its address, specialty, and other relevant details, was last updated on 2008-02-28.