Individual
EMILY L DEBADTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 332-2427
(315) 332-2324
Mailing address
1250 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 332-2427
(315) 332-2324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7750884
AETNA
NY
Enumeration date
09/12/2006
Last updated
05/13/2009
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