Lydia J Anders R PAC

NPI 1093782542 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093782542
Gender Female
Enumeration Date 03/03/2006
Last Updated 10/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
5700 W GENESEE ST
SUITE 132
CAMILLUS NY, 13031-3200, US
Phone (315) 487-5858
Fax (315) 487-1950
Business Location
PO BOX 2003
EAST SYRACUSE NY, 13057-4503, US
Phone (315) 446-3904
Fax (315) 445-2936
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 010011
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According to our database, Lydia J Anders R PAC NPI is 1093782542, taxonomy code is 363AM0700X and license number is 010011, license state is located at New York. Lydia J Anders R PAC physically located at 5700 W Genesee St, Camillus NY, 13031-3200. NPI Number Lydia J Anders R PAC has the Individual type.

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1093782542 NPI number is provided on an as is basis without warranty of any kind. 1093782542 is maintained by the National Plan & Provider Enumeration System. The contents of Lydia J Anders R PAC are for informational purposes only.