Katie Lynn Wysocki PA

NPI 1740592617 - Physician Assistant - 363A00000X

NPI Details
NPI 1740592617
Gender Female
Enumeration Date 07/08/2010
Last Updated 05/30/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
16 DANFORTH ST
HOOSICK FALLS FAMILY HEALTH CENTER
HOOSICK FALLS NY, 12090-1226, US
Phone (518) 686-5002
Fax (518) 686-1848
Business Location
PO BOX 304
GLENS FALLS NY, 12801-0304, US
Phone (518) 686-5002
Fax (518) 686-1848
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 014778
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According to our database, Katie Lynn Wysocki PA NPI is 1740592617, taxonomy code is 363A00000X and license number is 014778, license state is located at New York. Katie Lynn Wysocki PA physically located at 16 Danforth St, Hoosick Falls NY, 12090-1226. NPI Number Katie Lynn Wysocki PA has the Individual type.

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1740592617 NPI number is provided on an as is basis without warranty of any kind. 1740592617 is maintained by the National Plan & Provider Enumeration System. The contents of Katie Lynn Wysocki PA are for informational purposes only.