in Poughkeepsie - Physician Assistant

- NPI 1609086859

is a Physician Assistant in Poughkeepsie, New York. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1609086859. The last update date is .

's current location address is 1 Webster Ave, Poughkeepsie, New York. You can contact this provider via phone number 8454835700. The mailing address for is 1 Webster Ave, Poughkeepsie, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1 Webster Ave, Poughkeepsie, New York
Phone Number 8454835700
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1609086859
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1 Webster Ave
City Poughkeepsie
State New York (NY)
Post Code 126011361
Phone Number 8454835700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 8327
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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