Root, Talia
Root, Talia is an individual health care provider with primary practice located at 18 Limestone Dr Suite 5, Williamsville NY 14221-8602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Root, Talia can be contacted via phone (716) 632-1400.Contact Information
Primary practice address
18 Limestone Dr Suite 5
Williamsville NY 14221-8602
Phone: (716) 632-1400
Fax: (716) 632-5316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MR1099882 | New York |
Profile Details
| NPI number | 1184624348 |
|---|---|
| LBN Legal business name | Root, Talia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Aug 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184624348 | NPPES |
| New York | Other | 9512456 | INDEPENDENT HEALTH |
| New York | Other | 00026701401 | INDEPENDENT HEALTH |
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