LEE T ACKLEY


Address: 39 Farrell Road, Willsboro, NY 12996
Phone: 5189634275

LEE T ACKLEY (NPI# 1902944044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902944044
Entity Type Individual
Full Name LEE T ACKLEY
Credential RPA-C
Practice Address 39 Farrell Road
Willsboro
NY 12996
Mailing Address P.o. Box 331
Essex
NY 12936-0331
Practice Telephone 5189634275
Practice Fax Number 5189638862
Mailing Telephone 5189634275
Mailing Fax Number 5189638862
Enumeration Date 2007-02-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 003464-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA LICENSE MA0519023 01
NY PHYSICIAN ASSISTANT LICEN 003464-1 01

Other Providers LEE ACKLEY

NPI Name Taxonomy Address Enumeration
1417933813 Lee Edward Ackley Physician Assistant 4412 Kell Blvd, Wichita Falls, TX 76309-4719 2005-12-16

Office Location

Street Address 39 FARRELL ROAD
City WILLSBORO
State NY
Zip Code 12996

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013523554 Corey Wheet Acupuncturist 17 Cedar Lane, Willsboro, NY 12996 2020-09-21
1568827152 Karen Crowningshield Registered Nurse 29 School Ln, Willsboro, NY 12996 2015-12-23
1457668758 Willsboro Dental, PC Dentist 3673 Essex Road, Willsboro, NY 12996 2010-09-08
1659438695 Willsboro Central School Local Education Agency (LEA) 29 School Lane, Willsboro, NY 12996 2007-01-02
1083721260 Kinney Drugs Inc Pharmacy 62 Station Rd, Willsboro, NY 12996 2006-08-24
1720015100 David George Bonfante Dentist 3673 Essex Rd, Suite 2, Willsboro, NY 12996 2006-06-28
1518565605 Gratitude for Wellness Acupuncture Acupuncturist 17 Cedar Lane, Willsboro, NY 12996 2020-10-12
1033247796 Jennifer Jane Olcott Pharmacist 62 Station Rd, Willsboro, NY 12996 2007-03-02
1083083687 Kathleen Nasner Registered Nurse 29 School Lane, Willsboro, NY 12996-0180 2015-09-24
1154692341 Kari Lynn Scott Registered Nurse 29 School Lane, Willsboro, NY 12996-0180 2012-01-19
Find all providers in zip 12996

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245415843 Brian Callahan Physician Assistant 39 Farrell Rd, Willsboro, NY 12996-3904 2008-01-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821026 Victoria Yunaev Physician Assistant 7203 166th St, Fresh Meadows, NY 11365-3237 2020-11-05
1811598857 Brittany Christine Androsko Physician Assistant 1769 Union St Fl 2, Niskayuna, NY 12309-6311 2020-11-05
1164023172 Betina Charlotte Apostol Nuguid Physician Assistant 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 2020-11-05
1023619129 Anna Leigh Vonck Physician Assistant 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 2020-11-04
1952902256 Billy Phuoctan Truong Physician Assistant 8832 18th Ave, Brooklyn, NY 11214-6002 2020-11-03
1205437621 Jason Patrick Feak Physician Assistant 6338 Falls Blvd, Chittenango, NY 13037-8799 2020-11-03
1437750742 Drew James Mitchell Physician Assistant 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 2020-11-03
1306446125 Julie Mcphillips Physician Assistant 961 W Kaisertown Rd, Montgomery, NY 12549-2317 2020-10-30
1487254330 Thomas J Nagel Physician Assistant 57 Montgomery Road, Fort Montgomery, NY 10922 2020-10-29
1700486560 Jayanti Rao Physician Assistant 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 2020-10-29
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILLSBORO
Zip Code 12996

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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