Provider Demographics
NPI:1427353358
Name:EATON, TONI ANN (RPA-C)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:ANN
Last Name:EATON
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:ANN
Other - Last Name:ARMAGOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:200 CORPORATE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3870
Mailing Address - Country:US
Mailing Address - Phone:800-893-9698
Mailing Address - Fax:337-593-1838
Practice Address - Street 1:707 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2650
Practice Address - Country:US
Practice Address - Phone:845-333-1300
Practice Address - Fax:845-333-2329
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014589363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03318169Medicaid
NY03318169Medicaid