Vega-Tucker, Elissa V
Vega-Tucker, Elissa V is an individual health care provider with primary practice located at 75 Beekman St , Plattsburgh NY 12901-1438. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Vega-Tucker, Elissa V can be contacted via phone (518) 561-2000.Contact Information
Primary practice address
75 Beekman St
Plattsburgh NY 12901-1438
Phone: (518) 561-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 025861 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 025861 | New York |
Profile Details
| NPI number | 1992790455 |
|---|---|
| LBN Legal business name | Vega-Tucker, Elissa V |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Oct 8th, 2018 - about 7 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 | 1992790455 | NPPES |
| New York | MEDICAID | 02528696 |
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