Healthcare Provider Details

I. General information

NPI: 1386322667
Provider Name (Legal Business Name): KAYLIN JOY ORESHAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TOWER PL FL 8
ALBANY NY
12203-3715
US

IV. Provider business mailing address

509 COLUMBIA STREET EXT
COHOES NY
12047-3817
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-4471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00779800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number035690
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: