Individual provider · Type 1 NPI

Jack E. Redding Ii, PA-C

Medical Physician Assistant · West Coxsackie, NY

NPI number 1295843852 Active

Practice location

11835 Rt 9W
West Coxsackie, NY 12192-3605

Call (518) 731-9000 Map

Fax (518) 731-9119

Mailing address

60 Martins Hill Rd
Ravena, NY 12143-2809

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9100926 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1295843852

Jack E. Redding Ii, PA-C's National Provider Identifier is 1295843852, issued on Aug 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Coxsackie, NY. The record was last updated on Mar 27, 2015.