MEDICARE: JEAN ELIZABETH VAN AUKEN PA

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
1	363A00000X	Physician Assistant	005471	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00009681	OTHER	NY	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1669463006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN ELIZABETH VAN AUKEN PA

Provider Business Mailing Address
First Line	:	3040 ROUTE 50 STE 1
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-3073
Country	:	US
Telephone Number	:	518-580-2170
Fax Number	:	518-926-6983

Provider Business Practice Location Address
First Line	:	3040 ROUTE 50 STE 1
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-3073
Country	:	US
Telephone Number	:	518-580-2170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	02/18/2025

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Directions to “ JEAN ELIZABETH VAN AUKEN PA” Practice Location

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