Individual
MRS. ELIZABETH HELENE O'HERRON-TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1676
(607) 737-4141
(607) 737-8166
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004067
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103367737
—
PA
05
—
6077378166
—
NY
Enumeration date
10/01/2007
Last updated
11/30/2020
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