Tammy Sue Walrath, PA Valid NPI
Individual provider · Medical Physician Assistant · Ithaca, NY
- NPI
- 1891261228
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- 022900 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-10-24
- Last updated
- 2021-01-13
Practice location
201 Dates Dr
Ithaca, NY 14850-1345
(607) 844-7271