National Provider Identifier
Angela K Drake, PA
Angela K Drake, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 734-2695.
Profile Overview
- NPI
- 1083988661
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 29, 2012
- Last Updated
- June 10, 2016
Practice Location
- 1138 Broadway St
- Elmira, NY 14904-2502
Phone: (607) 734-2695
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1083988661
- Entity Type
- Individual
- Last Name
- Drake
- First Name
- Angela
- Middle Name
- K
- Credential
- PA
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 1138 Broadway St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-2502
- Practice Country
- US
- Practice Phone
- (607) 734-2695
- Practice Fax
- (607) 734-2917
- Enumeration Date
- February 29, 2012
- Last Updated
- June 10, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 03436766 (NY)