Provider Demographics
NPI:1144496787
Name:ECHAUSSE, NANCY JEANNE (RPAC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JEANNE
Last Name:ECHAUSSE
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:755 N BROADWAY STE 430
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1077
Mailing Address - Country:US
Mailing Address - Phone:914-269-1930
Mailing Address - Fax:914-269-1931
Practice Address - Street 1:755 N BROADWAY STE 430
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1077
Practice Address - Country:US
Practice Address - Phone:914-269-1930
Practice Address - Fax:914-269-1931
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004008363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant