Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Erica Tine-Rose Feola, PA

Individual provider Physician Assistant · NPI 1104809409

MS. Erica Tine-Rose Feola, PA is a Physician Assistant in Watertown, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

830 Washington St ER Dept
Watertown, NY 13601-4034
Phone: (315) 786-4813
Fax: (315) 786-4314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009893-1 (NY)

Record details

NPI number1104809409
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESOctober 20, 2015

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