Jessica F Walz in Northport - Physician Assistant
Jessica F Walz - NPI 1669544292
Jessica F Walz is a Physician Assistant in Northport, New York. Jessica F Walz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica F Walz is 1669544292. The last update date is 2013-05-29.
Jessica F Walz's current location address is 79 Middleville Rd, Northport, New York. You can contact this provider via phone number 4438120141. The mailing address for Jessica F Walz is 79 Middleville Rd, Northport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica F Walz |
|---|---|
| Address | 79 Middleville Rd, Northport, New York |
| Phone Number | 4438120141 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1669544292 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2013-05-29 |
Provider Mailing Address Detail
| Address | 79 Middleville Rd |
|---|---|
| City | Northport |
| State | New York (NY) |
| Post Code | 117682200 |
| Phone Number | 4438120141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10622 |
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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 identifier code issued to Jessica F Walz by the Centers for Medicare & Medicaid Services?
The Jessica F Walz has been assigned the NPI (National Provider Identifier) 1669544292. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jessica F Walz's facilities are situated?
The facilities of Jessica F Walz are physically located at the following address: 79 Middleville Rd, Northport, NY, 117682200.
What is the Jessica F Walz's specialty and taxonomy code?
The Jessica F Walz's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669544292 to Jessica F Walz?
The Jessica F Walz received its 1669544292 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date was the information regarding Jessica F Walz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica F Walz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-29.