Marie Cameron Pesola in New York - Physician Assistant

Marie Cameron Pesola - NPI 1730109406

Marie Cameron Pesola is a Physician Assistant in New York, New York. Marie Cameron Pesola practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marie Cameron Pesola is 1730109406. The last update date is 2016-02-10.

Marie Cameron Pesola's current location address is 575 Grand St Apt E1905, New York, New York. You can contact this provider via phone number 2129821708. The mailing address for Marie Cameron Pesola is 575 Grand St Apt E1905, New York, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie Cameron Pesola
Address 575 Grand St Apt E1905, New York, New York
Phone Number 2129821708
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1730109406
Provider Enumeration Date 2006-07-19
Last Updated Date 2016-02-10

Provider Mailing Address Detail

Address 575 Grand St Apt E1905
City New York
State New York (NY)
Post Code 100024321
Phone Number 2129821708
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5685
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
3751333 NY --

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FAQs about Marie Cameron Pesola

What is the unique 10-digit identifier code issued to Marie Cameron Pesola by the Centers for Medicare & Medicaid Services?

The Marie Cameron Pesola has been assigned the NPI (National Provider Identifier) 1730109406 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Marie Cameron Pesola's facilities are situated?

The facilities of Marie Cameron Pesola are physically located at the following address: 575 Grand St Apt E1905, New York, NY, 100024321.

What is Marie Cameron Pesola's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marie Cameron Pesola is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Marie Cameron Pesola receive the assignment of its 1730109406 from the Centers for Medicare & Medicaid Services?

The Marie Cameron Pesola was issued its 1730109406 by the Centers for Medicare & Medicaid Services on 2006-07-19.

When was the information related to Marie Cameron Pesola most recently updated or refreshed?

The details pertaining to the Marie Cameron Pesola, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-02-10.

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