Gracie-Ann Samadh Roberts in Staten Island - Physician Assistant
Gracie-Ann Samadh Roberts - NPI 1407045917
Gracie-Ann Samadh Roberts is a Physician Assistant in Staten Island, New York. Gracie-Ann Samadh Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gracie-Ann Samadh Roberts is 1407045917. The last update date is 2016-08-11.
Gracie-Ann Samadh Roberts's current location address is 439 Port Richmond Ave, Staten Island, New York. You can contact this provider via phone number 9178301235. The mailing address for Gracie-Ann Samadh Roberts is 439 Port Richmond Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gracie-Ann Samadh Roberts |
|---|---|
| Address | 439 Port Richmond Ave, Staten Island, New York |
| Phone Number | 9178301235 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1407045917 |
|---|---|
| Provider Enumeration Date | 2007-10-20 |
| Last Updated Date | 2016-08-11 |
Provider Mailing Address Detail
| Address | 439 Port Richmond Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103021714 |
| Phone Number | 9178301235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11794 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gracie-Ann Samadh Roberts by the Centers for Medicare & Medicaid Services?
The Gracie-Ann Samadh Roberts has been issued the NPI (National Provider Identifier) 1407045917, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gracie-Ann Samadh Roberts is geographically located?
The Gracie-Ann Samadh Roberts is physically situated at the following location: 439 Port Richmond Ave, Staten Island, NY, 103021714.
What is Gracie-Ann Samadh Roberts's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gracie-Ann Samadh Roberts is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Gracie-Ann Samadh Roberts receive its 1407045917?
The Gracie-Ann Samadh Roberts was issued its 1407045917 on 2007-10-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Gracie-Ann Samadh Roberts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gracie-Ann Samadh Roberts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-08-11.
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