Individual provider · Type 1 NPI

Corey E. Ennis, PA

Physician Assistant · Ballston Lake, NY

NPI number 1912392192 Active

Practice location

1184 State Route 50
Ballston Lake, NY 12019-1923

Call (518) 384-1281 Map

Fax (518) 384-0321

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1912392192

Corey E. Ennis, PA's National Provider Identifier is 1912392192, issued on Apr 3, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ballston Lake, NY. The record was last updated on Oct 17, 2022.