MEDICARE: AMY ECKSTEIN-VANGELDER 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	004619	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00304555	OTHER	NY	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1861483208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ECKSTEIN-VANGELDER PA

Provider Business Mailing Address
First Line	:	3 CORPORATE DR
Second Line	:	STRATEGIC SOLUTIONS MANAGEMENT CONSULTANTS
City	:	HALFMOON
State	:	NY
Zip	:	12065-8635
Country	:	US
Telephone Number	:	518-348-1276
Fax Number	:	518-383-8104

Provider Business Practice Location Address
First Line	:	3050 ROUTE 50
Second Line	:	SARATOGA HOSPITAL - SARATOGA CENTER FOR ENDOCRINOLOGY
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2958
Country	:	US
Telephone Number	:	518-348-1276
Fax Number	:	518-383-8104

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	11/17/2016

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Directions to “ AMY ECKSTEIN-VANGELDER PA” Practice Location

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