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Contact Information

JEFFREY P OWENS, RPAC
77 NELSON ST
SUITE 230
AUBURN, NY13021
 Phone: 315-252-9562
 Fax: 315-255-3872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEFFREY P OWENS · (Male)

NPI Number 1700984143
Status Active
Credentials RPAC
Entity Individual
Enumeration date 09/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 007411
  • NY Medicaid 02315259
  • NY Other P019007411 BLUE CHOICE
  • NY Other 110609343 EXCELLUS BS
  • NY Other 369588 MVP
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER - (Acute Care)
    750 EAST ADAMS STREET
    SYRACUSE, NY 13210
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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