National Provider Identifier
Jamie M Tatar, PA
Jamie M Tatar, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Clifton Springs, NY and a listed phone number of (315) 462-1495.
Profile Overview
- NPI
- 1871773846
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 07, 2007
- Last Updated
- June 07, 2023
Practice Location
- 4 Coulter RD
- Clifton Springs, NY 14432-1122
Phone: (315) 462-1495
Mailing Address
- 67 Kendall St
- Suite 200
- Clifton Springs, NY 14432-9701
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1871773846
- Entity Type
- Individual
- Last Name
- Tatar
- First Name
- Jamie
- Middle Name
- M
- Credential
- PA
- Mailing Street Address
- 67 Kendall St
- Mailing Address Line 2
- Suite 200
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-9701
- Mailing Country
- US
- Mailing Phone
- (315) 462-9482
- Mailing Fax
- (315) 462-5438
- Practice Street Address
- 4 Coulter RD
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1122
- Practice Country
- US
- Practice Phone
- (315) 462-1495
- Enumeration Date
- November 07, 2007
- Last Updated
- June 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- AA1560 (Medicare Group Ptan)