Provider Demographics
NPI:1922483734
Name:DROSKY, VINCENZINA PATRICIA (PA-C)
Entity type:Individual
Prefix:
First Name:VINCENZINA
Middle Name:PATRICIA
Last Name:DROSKY
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 1:807 PUTTER CT
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2067
Mailing Address - Country:US
Mailing Address - Phone:215-290-7374
Mailing Address - Fax:
Practice Address - Street 1:5610 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-1442
Practice Address - Country:US
Practice Address - Phone:540-265-8924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09922363A00000X
VA0110006762363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01832289Medicaid
TX370109602Medicaid
TX370109605Medicaid
TX370109606Medicaid
TXP01832120Medicaid