Most Relevant Information
Provider Data
| NPI Number: | 1003392713 |
| Provider Name: | REBECCA VANWIE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 022250 |
Most Important Dates
| Enumeration Date: | 07/16/2018 |
| Last Updated: | 12/07/2023 |
Provider Practice Location
500 STATE ST
SCHENECTADY
NY
123052414
Practice Location Phone/Fax
| Phone: | 5184892663 |
| Fax: | 5186893881 |
Provider Mailing Location
121 EVERETT RD
ALBANY
NY
122051474
Provider Mailing Phone/Fax
| Phone: | 5184892663 |
| Fax: | 5186893881 |