Active NPIIndividual provider

Mrs. Antaeya N Foster, PA-C

Physician Assistant, Surgical in Pomona, New York

NPI Number1760769152
Practice location
31 Halley Dr, Pomona, NY 10970-2001
Fax
845-354-7735
Last updated
February 8, 2018

Antaeya Nyree Foster is a Physician Assistant, Surgical based in Pomona, NY. Antaeya Nyree Foster practices in Pomona, NY and has the professional credentials of PA-C. The NPI Number for Antaeya Nyree Foster is 1760769152 and holds a License No. 014459 (NY). The current practice location address for Antaeya Nyree Foster is 31 Halley Dr, Pomona, NY 10970-2001 and can be reached out via phone at 845-664-0740 and via fax at 845-354-7735.

Provider Profile Details

NPI Number
1760769152
Provider Name
Antaeya Nyree Foster
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
31 Halley Dr, Pomona, NY 10970-2001
Phone Number
845-664-0740
Fax Number
845-354-7735
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Antaeya Nyree Leake-Gaylord, PA-C (Former Name)
Provider Enumeration Date
November 14, 2011
Last Update Date
February 8, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Halley Dr
Pomona, NY 10970-2001
City
Pomona
Zip
10970-2001
Phone Number
845-664-0740
Fax Number
845-354-7735
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
170 Williams Street
7TH Floor
New York, NY 10038
City
New York
State
NY
Zip
10038
Phone Number
212-312-5400
Fax Number
845-354-7735

License Information

License Number
014459
License State
NY
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Antaeya N Foster, PA-C?

The NPI number of Mrs. Antaeya N Foster, PA-C is 1760769152. It was assigned on November 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Antaeya N Foster, PA-C?

Mrs. Antaeya N Foster, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 014459.

Where does Mrs. Antaeya N Foster, PA-C practice?

The practice location is 31 Halley Dr, Pomona, NY 10970-2001. The office can be reached at 845-664-0740 (phone) or 845-354-7735 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760769152 directly on the NPPES registry website.

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