Cody Archibald
Cody Archibald is a Physician Assistant in New York, New York. Qualified in 2019, 7 years ago. Licensed in New York.
- Years since qualifying
- 7
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
928 BroadwayNew York, NY 10010-6008
Phone: (810) 543-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 024283 (NY) |
|---|
Record details
| NPI number | 1295379071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2019 |
| Last updated in NPPES | November 4, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 5 on file with Medicare |
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