Individual
ALAYNA EMILY BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
905 HANSHAW RD, SUITE A, ITHACA, NY 14850
(607) 269-0033
(607) 269-0037
Mailing address
87 UPTOWN RD, ITHACA, NY 14850-1630
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025441
NEW YORK PHYSICIAN ASSISTANT LICENSE
NY
01
—
1168054
NCCPA
—
01
—
50.006417
OHIO MEDICAL BOARD
OH
Enumeration date
07/07/2020
Last updated
08/27/2020
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