Dallas Elizabeth Worth R.PA-C

NPI 1659525269 - Physician Assistant - 363A00000X

NPI Details
NPI 1659525269
Gender Female
Enumeration Date 11/10/2008
Last Updated 08/06/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
236 SOUTH MAIN STREET
NEW CITY NY, 10956, US
Phone (845) 678-3434
Fax
Business Location
236 SOUTH MAIN STREET
NEW CITY NY, 10956, US
Phone (845) 678-3434
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 012919
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According to our database, Dallas Elizabeth Worth R.PA-C NPI is 1659525269, taxonomy code is 363A00000X and license number is 012919, license state is located at New York. Dallas Elizabeth Worth R.PA-C physically located at 236 South Main Street, New City NY, 10956. NPI Number Dallas Elizabeth Worth R.PA-C has the Individual type.

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1659525269 NPI number is provided on an as is basis without warranty of any kind. 1659525269 is maintained by the National Plan & Provider Enumeration System. The contents of Dallas Elizabeth Worth R.PA-C are for informational purposes only.