Individual provider · Type 1 NPI

Tecshana Nicola Blackwood, PA

Physician Assistant · New Haven, CT

NPI number 1124550983 Active

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

TaxonomyCodeLicense
Personal Emergency Response Attendant 146D00000X020717 (NY)
Physician Assistant 363A00000X0038009 (CT)
Medical Physician Assistant 363AM0700X3809 (CT)
Physician Assistant Primary 363A00000X020717-1 (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…

7 other providers at this address

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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.