Marina Boise in East Syracuse - Physician Assistant
Marina Boise - NPI 1932244969
Marina Boise is a Physician Assistant in East Syracuse, New York. Marina Boise practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marina Boise is 1932244969. The last update date is 2022-10-07.
Marina Boise's current location address is 5008 Brittonfield Pkwy Ste 700, East Syracuse, New York. You can contact this provider via phone number 3154727504 and fax number 3156344677. The mailing address for Marina Boise is 5008 Brittonfield Pkwy Ste 700, East Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marina Boise |
|---|---|
| Address | 5008 Brittonfield Pkwy Ste 700, East Syracuse, New York |
| Phone Number | 3154727504 |
| Fax Number | 3156344677 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1932244969 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 5008 Brittonfield Pkwy Ste 700 |
|---|---|
| City | East Syracuse |
| State | New York (NY) |
| Post Code | 130579249 |
| Phone Number | 3154727504 |
| Fax Number | 3156344677 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 20915 |
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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 |
|---|---|---|---|
| 20915 | NY | NYS LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Marina Boise by the Centers for Medicare & Medicaid Services?
The Marina Boise has been assigned the NPI (National Provider Identifier) 1932244969. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marina Boise?
The Marina Boise is situated at 5008 Brittonfield Pkwy Ste 700, in the city of East Syracuse, state of NY, with the zip code 130579249.
What is Marina Boise's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marina Boise's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Marina Boise receive its 1932244969?
The Marina Boise was issued its 1932244969 on 2007-02-20, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Marina Boise most recently updated or revised?
The details related to Marina Boise, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-07.
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