National Provider Identifier
Mary Jane Welch, PHYSICIAN ASSISTANG
Mary Jane Welch, PHYSICIAN ASSISTANG is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Ithaca, NY and a listed phone number of (607) 257-6563.
Profile Overview
- NPI
- 1487694469
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 07, 2006
- Last Updated
- August 01, 2008
Practice Location
- 840 Hanshaw Road
- Asthmas & Allergy Associates P.C.
- Ithaca, NY 14850
Phone: (607) 257-6563
Specialties
- Medical Physician Assistant (363AM0700X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1487694469
- Entity Type
- Individual
- Last Name
- Welch
- First Name
- Mary Jane
- Name Prefix
- MS.
- Credential
- PHYSICIAN ASSISTANG
- Mailing Street Address
- 840 Hanshaw Road
- Mailing Address Line 2
- Asthmas & Allergy Associates P.C.
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 257-6563
- Mailing Fax
- (607) 257-1420
- Practice Street Address
- 840 Hanshaw Road
- Practice Address Line 2
- Asthmas & Allergy Associates P.C.
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 257-6563
- Practice Fax
- (607) 257-1420
- Enumeration Date
- June 07, 2006
- Last Updated
- August 01, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Family Medicine Physician (207Q00000X)