Qiana Lenette Sutton P.A.- C

NPI 1063535094 - Physician Assistant - 363AS0400X

NPI Details
NPI 1063535094
Gender Female
Enumeration Date 04/06/2007
Last Updated 11/14/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
600 IVY ST
SUITE 201, DEPT. OF CARDIOTHORACIC SURGERY
ELMIRA NY, 14905-1627, US
Phone (607) 737-7780
Fax (607) 737-7788
Business Location
722 W WATER ST
ELMIRA NY, 14905-2435, US
Phone (607) 271-2050
Fax (607) 271-2099
Toxanomy
Taxonomy Code 363AS0400X
License State New Jersey
License Number 25MP00043700
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According to our database, Qiana Lenette Sutton P.A.- C NPI is 1063535094, taxonomy code is 363AS0400X and license number is 25MP00043700, license state is located at New Jersey. Qiana Lenette Sutton P.A.- C physically located at 600 Ivy St, Elmira NY, 14905-1627. NPI Number Qiana Lenette Sutton P.A.- C has the Individual type.

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1063535094 NPI number is provided on an as is basis without warranty of any kind. 1063535094 is maintained by the National Plan & Provider Enumeration System. The contents of Qiana Lenette Sutton P.A.- C are for informational purposes only.