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Contact Information

TASHA L RICHARDS, PA
1340 WASHINGTON ST
WATERTOWN, NY13601
 Phone: 315-782-9003
 Fax: 315-782-9010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TASHA L RICHARDS · (Female)

NPI Number 1245285840
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/23/2006
Last updated 05/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 007134
  • NY Medicaid 02007252
Hospital affiliation(s)
  • SAMARITAN MEDICAL CENTER - (Acute Care)
    830 WASHINGTON STREET
    WATERTOWN, NY 13601
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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