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NPI Code Detail

MEDICARE: EMILY DEVINS

MEDICARE: EMILY DEVINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant019254NY

General Provider Information

NPI Number : 1669844494
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY DEVINS
Provider Business Mailing Address
First Line : 6949 BRITTONFIELD PARKWAY
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057
Country : US
Telephone Number : 315-634-6699
Fax Number :
Provider Business Practice Location Address
First Line : 6949 BRITTONFIELD PARKWAY
Second Line :
City : EAST SYRACUSE
State : NM
Zip : 13057
Country : US
Telephone Number : 315-634-6699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 11/27/2024

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Directions to “ EMILY DEVINS ” Practice Location

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