Individual provider · Type 1 NPI

Tara C. Halvax, PA

Surgical Physician Assistant · Schenectady, NY

NPI number 1508012782 Active

Practice location

1101 Nott St
Schenectady, NY 12308-2425

Mailing address

1462 Erie Blvd, Attn: The Medical Group
Schenectady, NY 12305-1026

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X012606 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1508012782

Tara C. Halvax, PA's National Provider Identifier is 1508012782, issued on Aug 7, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Schenectady, NY. The record was last updated on Aug 7, 2008.