Provider Demographics
NPI:1649258997
Name:SLINGERLAND, EMILY EASTERLY (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:EASTERLY
Last Name:SLINGERLAND
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 1:7 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2610
Mailing Address - Country:US
Mailing Address - Phone:518-480-4967
Mailing Address - Fax:
Practice Address - Street 1:68 QUAKER RD
Practice Address - Street 2:ADIRONDACK ORTHOPEDIC PHYSICIANS AND SURGEONS
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1711
Practice Address - Country:US
Practice Address - Phone:518-793-5601
Practice Address - Fax:518-793-5916
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT550030739363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1011981Medicaid
Q58397Medicare UPIN
VTAP2528Medicare ID - Type Unspecified