Individual provider · Type 1 NPI
Tecshana Nicola Blackwood, PA
Physician Assistant · New Haven, CT
Practice location
1 Long Wharf Dr Ste 212
New Haven, CT 06511-5593
Fax (203) 624-4301
Mailing address
55 W 39th Street
New York, NY 10018
Other practice locations
- 86 Ridgely Ave, Fairfield, CT 06825 · (347) 523-1091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 020717 (NY) |
| Physician Assistant | 363A00000X | 0038009 (CT) |
| Medical Physician Assistant | 363AM0700X | 3809 (CT) |
| Physician Assistant Primary | 363A00000X | 020717-1 (NY) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1124550983
Tecshana Nicola Blackwood, PA's National Provider Identifier is 1124550983, issued on Mar 31, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New Haven, CT. The record was last updated on Apr 23, 2019.