Whitney, Cody Evan

Whitney, Cody Evan is an individual health care provider with primary practice located at 17 Miller Road , Crown Point NY 12928-2530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whitney, Cody Evan can be contacted via phone (518) 597-3029.

Contact Information

Primary practice address
17 Miller Road Crown Point NY 12928-2530
Phone: (518) 597-3029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 021661 New York

Profile Details

NPI number 1275047466
LBN Legal business name Whitney, Cody Evan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2017
Last updated Mar 17th, 2018 - about 6 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 1275047466 NPPES
New York Other 021661 NY LICENSE

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