Individual
DALLAS ELIZABETH WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PA-C
Contact information
Practice address
236 SOUTH MAIN STREET, NEW CITY, NY 10956
(845) 678-3434
Mailing address
236 SOUTH MAIN STREET, NEW CITY, NY 10956
(845) 678-3434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012919
NY
Other
Enumeration date
11/10/2008
Last updated
08/06/2013
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