NPI Code Details Logo

NPI 1548141062

NPI 1548141062 : JOYANA NOELLE TARSA PA-C : HOOSICK FALLS, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548141062
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOYANA NOELLE TARSA PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/10/2025
-----------------------------------------------------
    Last Update Date     |    09/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16 DANFORTH ST 
-----------------------------------------------------
    City                 |    HOOSICK FALLS
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    12090-1226
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    518-686-5770
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    480 US ROUTE 5 N 
-----------------------------------------------------
    City                 |    WINDSOR
-----------------------------------------------------
    State                |    VT
-----------------------------------------------------
    Zip                  |    05089-9526
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363AM0700X
-----------------------------------------------------
    Taxonomy Name        |    Medical Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.