Individual
MR. EARL DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSIAN ASSISTANT
Contact information
Practice address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 731-9000
(518) 731-9119
Mailing address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 731-9000
(518) 731-9119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01874937
—
NY
Enumeration date
03/28/2006
Last updated
05/22/2013
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