| Eleanor Park, | |
|
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 | |
| (315) 772-2778 | |
| Not Available |
| Full Name | Eleanor Park |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 11050 Mt Belvedere Blvd, Fort Drum, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538852017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Park, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: () - | Eleanor Park, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: (315) 772-2778 |
David Lewis Keyes, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Credentials, Fort Drum, NY 13602 Phone: 315-772-5508 | |
Brady Simpkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 802-258-0301 | |
Kevin Lee Larose, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Jeremiah C Clester, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Tetevi Senouwogbe Torsoo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Jacob Miller, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: P10506 Euphrates River Valley Road, Fort Drum, NY 13602 Phone: 315-772-2778 | |
William J. Flynn Iii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 |