National Provider Identifier
Tess Elizabeth Macqueen, PA-C
Tess Elizabeth Macqueen, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 257-1107.
Profile Overview
- NPI
- 1861747388
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 20, 2012
- Last Updated
- October 15, 2018
Practice Location
- 2333 N Triphammer RD Ste 203
- Ithaca, NY 14850
Phone: (607) 257-1107
Mailing Address
- 2333 N Triphammer RD Ste 203
- Ithaca, NY 14850-1075
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1861747388
- Entity Type
- Individual
- Last Name
- Macqueen
- First Name
- Tess
- Middle Name
- Elizabeth
- Credential
- PA-C
- Mailing Street Address
- 2333 N Triphammer RD Ste 203
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1075
- Mailing Country
- US
- Mailing Phone
- (607) 257-1107
- Mailing Fax
- (607) 257-0369
- Practice Street Address
- 2333 N Triphammer RD Ste 203
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 257-1107
- Practice Fax
- (607) 257-0369
- Enumeration Date
- July 20, 2012
- Last Updated
- October 15, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)