EMILY SUZANNE TANNER

LIVERPOOL, NY
NPI1295248805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  029170)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601011450)
363A00000X Physician Assistant
(Licence: MD  C06628)
363A00000X Physician Assistant
(Licence: NM  PA2022-0126)
363A00000X Physician Assistant
(Licence: WA  61021047)
363A00000X Physician Assistant
(Licence: OH  50.007894RX)
363A00000X Physician Assistant
(Licence: IL  085.009502)
363A00000X Physician Assistant
(Licence: PA  MA064853)
363A00000X Physician Assistant
(Licence: FL  PA9117452)
363A00000X Physician Assistant
(Licence: WI  7390-23)
363A00000X Physician Assistant
(Licence: IN  10004125A)
Enumeration Date2017-11-06
Last Update Date2023-11-11
Business Address
EMILY SUZANNE TANNER PA-C
7375 OSWEGO RD STE 1
LIVERPOOL, NY 13090-3717
Phone number: 315-291-0064
Mailing Address
EMILY SUZANNE TANNER PA-C
7375 OSWEGO RD STE 1
LIVERPOOL, NY 13090-3717
Phone number: 315-291-0064