Individual
ADRIA ERIN NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1768 ROUTE 9, HALFMOON, NY 12065-2402
(518) 489-2663
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015185
NY
363A00000X
Physician Assistant
23 015185
NY
363AS0400X
Surgical Physician Assistant
Primary
015185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03754001
—
NY
Enumeration date
10/04/2011
Last updated
07/16/2025
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