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Physician Assistant
NPI: 1619859386IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
034604(NY)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2025
Contact & Hours
- Address
- 1 ATWELL RD
COOPERSTOWN, NY 13326 - Phone
- (607) 547-3456
Quick Facts
- NPI
- 1619859386
- Entity Type
- Individual
- Gender
- X
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 1
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