Emily L Debadts in Newark - Physician Assistant

Emily L Debadts - NPI 1114021805

Emily L Debadts is a Physician Assistant in Newark, New York. Emily L Debadts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Emily L Debadts is 1114021805. The last update date is 2009-05-13.

Emily L Debadts's current location address is 1250 Driving Park Ave, Newark, New York. You can contact this provider via phone number 3153322427 and fax number 3153322324. The mailing address for Emily L Debadts is 1250 Driving Park Ave, Newark, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Emily L Debadts
Address 1250 Driving Park Ave, Newark, New York
Phone Number 3153322427
Fax Number 3153322324
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1114021805
Provider Enumeration Date 2006-09-12
Last Updated Date 2009-05-13

Provider Mailing Address Detail

Address 1250 Driving Park Ave
City Newark
State New York (NY)
Post Code 145131057
Phone Number 3153322427
Fax Number 3153322324

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 11069
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
7750884 NY AETNA

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FAQs about Emily L Debadts

What is the unique 10-digit identifier code issued to Emily L Debadts by the Centers for Medicare & Medicaid Services?

The Emily L Debadts has been assigned the NPI (National Provider Identifier) 1114021805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Emily L Debadts's facilities are geographically located?

The facilities of Emily L Debadts are physically situated at the following location: 1250 Driving Park Ave, Newark, NY, 145131057.

What is Emily L Debadts's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Emily L Debadts is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When was the Emily L Debadts's 1114021805 issued?

The Emily L Debadts's 1114021805 was issued on 2006-09-12.

As of what date was the information regarding Emily L Debadts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Emily L Debadts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-13.

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