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NPI Code Detail

MEDICARE: ELIZABETH SMITH SINCLAIR PA-C

MEDICARE: ELIZABETH SMITH SINCLAIR PA-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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant027921NY

General Provider Information

NPI Number : 1710638283
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SMITH SINCLAIR PA-C
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-520-0904
Provider Business Practice Location Address
First Line : 919 3RD AVE STE 105
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3902
Country : US
Telephone Number : 212-530-0650
Fax Number : 212-867-4353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2022
Last Update Date : 05/06/2024

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Directions to “ ELIZABETH SMITH SINCLAIR PA-C” Practice Location

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