Andrea M Dedona in Queensbury - Physician Assistant
Andrea M Dedona - NPI 1225066053
Andrea M Dedona is a Physician Assistant in Queensbury, New York. Andrea M Dedona practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea M Dedona is 1225066053. The last update date is 2015-01-27.
Andrea M Dedona's current location address is 17 Main St, Queensbury, New York. You can contact this provider via phone number 5187980767 and fax number 5187980815. The mailing address for Andrea M Dedona is 17 Main St, Queensbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea M Dedona |
|---|---|
| Address | 17 Main St, Queensbury, New York |
| Phone Number | 5187980767 |
| Fax Number | 5187980815 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1225066053 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2015-01-27 |
Provider Mailing Address Detail
| Address | 17 Main St |
|---|---|
| City | Queensbury |
| State | New York (NY) |
| Post Code | 128044007 |
| Phone Number | 5187980767 |
| Fax Number | 5187980815 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8010 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2352436 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Andrea M Dedona by the Centers for Medicare & Medicaid Services?
The Andrea M Dedona has been assigned the NPI (National Provider Identifier) 1225066053 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Andrea M Dedona?
The Andrea M Dedona is physically situated at 17 Main St, in the city of Queensbury, state of NY, with the postal code 128044007.
What is Andrea M Dedona's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrea M Dedona is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Andrea M Dedona's 1225066053 issued?
The Andrea M Dedona's 1225066053 was issued on 2006-06-29.
As of what date was the information pertaining to Andrea M Dedona, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Andrea M Dedona, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-27.