Provider Demographics
NPI:1356673404
Name:NEUMANN, GERALYN WHEELER (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:GERALYN
Middle Name:WHEELER
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1522
Mailing Address - Country:US
Mailing Address - Phone:585-589-5613
Mailing Address - Fax:585-589-0872
Practice Address - Street 1:301 WEST AVE
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1522
Practice Address - Country:US
Practice Address - Phone:585-589-5613
Practice Address - Fax:585-589-0872
Is Sole Proprietor?:No
Enumeration Date:2010-01-31
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008718-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1598707812OtherGROUP NPI
NYP66217Medicare UPIN