Ahern, Elizabeth Rose

Ahern, Elizabeth Rose is an individual health care provider with primary practice located at 3384 Route 22 , Peru NY 12972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ahern, Elizabeth Rose can be contacted via phone (518) 643-8008.

Contact Information

Primary practice address
3384 Route 22 Peru NY 12972
Phone: (518) 643-8008
Fax: (518) 643-8090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 009293 New York

Profile Details

NPI number 1821195157
LBN Legal business name Ahern, Elizabeth Rose
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821195157 NPPES
New York Other 000416869005 BLUE SHIELD NENY
New York MEDICAID 02149273 BLUE SHIELD NENY

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