Individual provider · Type 1 NPI

Joanne Detore, PA

Physician Assistant · Glens Falls, NY

NPI number 1396724894 Active

Practice location

2 Broad Street Plz, Broad Street Medical Group
Glens Falls, NY 12801-4363

Call (518) 926-1770 Map

Fax (518) 926-1799

Mailing address

PO Box 304
Glens Falls, NY 12801-0304

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X006825 (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 1396724894

Joanne Detore, PA's National Provider Identifier is 1396724894, issued on Jan 12, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glens Falls, NY. The record was last updated on Jun 6, 2012.