Mary Jane Welch, PHYSICIAN ASSISTANG Valid NPI

Individual provider · Medical Physician Assistant · Ithaca, NY

NPI

1487694469

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

000148 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-07

Last updated

2008-08-01