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Contact Information

HEATHER EMANUEL, PA
3 DEMOTT ST
LACONA, NY13083
 Phone: 315-387-3400
 Fax: 315-387-3246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER EMANUEL · (Female)

NPI # 1245279322
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/05/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 005224
  • NY Medicaid 00354316
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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