Katie Staphos in Roslyn - Physician Assistant

Katie Staphos - NPI 1760488001

Katie Staphos is a Physician Assistant in Roslyn, New York. Katie Staphos practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katie Staphos is 1760488001. The last update date is 2010-11-09.

Katie Staphos's current location address is 1405 Old Northern Blvd, Roslyn, New York. You can contact this provider via phone number 5164846777 and fax number 5164840037. The mailing address for Katie Staphos is 1405 Old Northern Blvd, Roslyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Katie Staphos
Address 1405 Old Northern Blvd, Roslyn, New York
Phone Number 5164846777
Fax Number 5164840037
Sole Proprietor Y
Credentials R.P.A.-C

NPI Number Detail

NPI Number 1760488001
Provider Enumeration Date 2005-06-22
Last Updated Date 2010-11-09

Provider Mailing Address Detail

Address 1405 Old Northern Blvd
City Roslyn
State New York (NY)
Post Code 1157622520
Phone Number 5164846777
Fax Number 5164840037

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 006980-1
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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FAQs about Katie Staphos

What is the unique provider identifier assigned to Katie Staphos?

The Katie Staphos has been issued the NPI (National Provider Identifier) 1760488001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Katie Staphos's facilities are geographically located?

The facilities of Katie Staphos are physically situated at the following location: 1405 Old Northern Blvd, Roslyn, NY, 1157622520.

What is the Katie Staphos's area of specialization and corresponding taxonomy classification?

The Katie Staphos's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760488001 to Katie Staphos?

The Centers for Medicare & Medicaid Services originally issued the 1760488001 to Katie Staphos on 2005-06-22.

When was the Katie Staphos's information last updated?

The Katie Staphos's information was last updated on 2010-11-09.

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