Provider Demographics
NPI:1689292666
Name:BARTON, ALAYNA EMILY (PA-C)
Entity Type:Individual
Prefix:
First Name:ALAYNA
Middle Name:EMILY
Last Name:BARTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 UPTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:905 HANSHAW RD
Practice Address - Street 2:SUITE A
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-269-0033
Practice Address - Fax:607-269-0037
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-07
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH50.006417OtherOHIO MEDICAL BOARD
NY025441OtherNEW YORK PHYSICIAN ASSISTANT LICENSE
1168054OtherNCCPA