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Contact Information

JOAN VENEROSA, PA
700 S. PERRY ST.
ST. MARY'S HOSPITAL FAM HLTH CNTR AT JOHNSTOWN PEDIATRI
JOHNSTOWN, NY12095
 Phone: 518-762-3161
 Fax: 518-762-6751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOAN VENEROSA · (Female)

NPI Number 1386629483
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/12/2005
Last updated 09/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0010571
  • NY Medicaid 02327282
  • NY Other 491537001 BCBS U/W
  • NY Other 318412 MVP
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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