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Contact Information

REBECCA BROADAWAY, RPA-C
GLENS FALLS HOSPITAL ECC
100 PARK AVE
GLENS FALLS, NY12801
 Phone: 518-926-3050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for REBECCA BROADAWAY · (Female)

NPI Number 1568486694
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 07/26/2006
Last updated 12/07/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 004949
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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