Christa M Ebong in Rifton - Physician Assistant
Christa M Ebong - NPI 1124095401
Christa M Ebong is a Physician Assistant in Rifton, New York. Christa M Ebong practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christa M Ebong is 1124095401. The last update date is 2023-03-07.
Christa M Ebong's current location address is 105 Woodcrest Dr, Rifton, New York. You can contact this provider via phone number 8456587763. The mailing address for Christa M Ebong is 105 Woodcrest Dr, Rifton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christa M Ebong |
|---|---|
| Address | 105 Woodcrest Dr, Rifton, New York |
| Phone Number | 8456587763 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1124095401 |
|---|---|
| Provider Enumeration Date | 2006-03-04 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 105 Woodcrest Dr |
|---|---|
| City | Rifton |
| State | New York (NY) |
| Post Code | 124717200 |
| Phone Number | 8456587763 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4815 |
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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 |
|---|---|---|---|
| 293859 | NY | HMO - WALDEN | |
| 1981635 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Christa M Ebong by the Centers for Medicare & Medicaid Services?
The Christa M Ebong has been assigned the NPI (National Provider Identifier) 1124095401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Christa M Ebong's facilities are geographically located?
The facilities of Christa M Ebong are physically situated at the following location: 105 Woodcrest Dr, Rifton, NY, 124717200.
What is Christa M Ebong's specialized field of practice, and what is the corresponding taxonomy classification code?
The Christa M Ebong's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Christa M Ebong receive its 1124095401 assignment from the Centers for Medicare & Medicaid Services?
The Christa M Ebong was assigned its 1124095401 by the Centers for Medicare & Medicaid Services on 2006-03-04.
When was the information pertaining to Christa M Ebong most recently updated or revised?
The details related to Christa M Ebong, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.