Individual provider · Type 1 NPI

David Eugene Tisdale, R-PCA

Physician Assistant · Massena, NY

NPI number 1396835112 Active

Practice location

1 Hospital Dr
Massena, NY 13662-1056

Call (315) 769-4200 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X002506 (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 1396835112

David Eugene Tisdale, R-PCA's National Provider Identifier is 1396835112, issued on Oct 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Massena, NY. The record was last updated on Feb 6, 2015.