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NPI Code Detail

MEDICARE: REBECCA M HOSEY RPA-C

MEDICARE: REBECCA M HOSEY RPA-C
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
1363AM0700XMedical Physician Assistant013623NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437485257
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA M HOSEY RPA-C
Provider Business Mailing Address
First Line : 116 EVERETT ROAD
Second Line : MEDICAL PAIN MANAGEMENT SERVICES, PLLC
City : ALBANY
State : NY
Zip : 12205-1427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 116 EVERETT ROAD
Second Line : MEDICAL PAIN MANAGEMENT SERVICES, PLLC
City : ALBANY
State : NY
Zip : 12205-1427
Country : US
Telephone Number : 518-463-0171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2009
Last Update Date : 05/25/2016

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