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Contact Information

LEE T ACKLEY, RPA-C
39 FARRELL ROAD
WILLSBORO, NY12996
 Phone: 518-963-4275
 Fax: 518-963-8862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LEE T ACKLEY · (Male)

NPI # 1902944044
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 02/01/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 003464-1
  • NY Other 003464-1 PHYSICIAN ASSISTANT LICEN
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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