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Contact Information

NANETTE L TREADWELL, R.P.A.C.
7571 NY-54
BATH, NY14810
 Phone: 607-776-8522
 Fax: 845-586-3411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NANETTE L TREADWELL · (Female)

NPI Number 1558316059
Status Active
Credentials R.P.A.C.
Entity Individual
Enumeration date 05/23/2006
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 004508
  • NY Medicaid 02458991
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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