Tschudi, Diane Beth

Tschudi, Diane Beth is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 1C, Liverpool NY 13088-3807. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tschudi, Diane Beth can be contacted via phone (315) 452-2333.

Contact Information

Primary practice address
5100 W Taft Rd Suite 1C Liverpool NY 13088-3807
Fax: (315) 452-2336
Website:

Profile Details

NPI number 1649568668
LBN Legal business name Tschudi, Diane Beth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Mar 26th, 2013 - about 11 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 1649568668 NPPES
New York MEDICAID 03536523

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