Individual provider · Type 1 NPI
Mary Jane Welch, PHYSICIAN ASSISTANG
Medical Physician Assistant · Ithaca, NY
NPI number
1487694469
Active
Practice location
840 Hanshaw Road, Asthmas & Allergy Associates P.c.
Ithaca, NY 14850
Fax (607) 257-1420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 000148 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 000148 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1487694469
Mary Jane Welch, PHYSICIAN ASSISTANG's National Provider Identifier is 1487694469, issued on Jun 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ithaca, NY. The record was last updated on Aug 1, 2008.