Individual provider · Type 1 NPI
Betsy Danielle Distelburger, PA-C
Medical Physician Assistant · New York, NY
NPI number
1407378003
Active
Practice location
1000 10th Ave
New York, NY 10019-1147
Mailing address
140 Phillipsburg Rd
Goshen, NY 10924-6911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1407378003
Betsy Danielle Distelburger, PA-C's National Provider Identifier is 1407378003, issued on Jul 14, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jul 14, 2017.