Sijo G Padannamackal PA

NPI 1497909493 - Physician Assistant - 363A00000X

NPI Details
NPI 1497909493
Gender Male
Enumeration Date 11/05/2008
Last Updated 09/30/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1910 SOUTH RD
POUGHKEEPSIE NY, 12601-6027, US
Phone (845) 454-0120
Fax (845) 454-6080
Business Location
1910 SOUTH RD
POUGHKEEPSIE NY, 12601-6027, US
Phone (845) 454-0120
Fax (845) 454-6080
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 012791
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According to our database, Sijo G Padannamackal PA NPI is 1497909493, taxonomy code is 363A00000X and license number is 012791, license state is located at New York. Sijo G Padannamackal PA physically located at 1910 South Rd, Poughkeepsie NY, 12601-6027. NPI Number Sijo G Padannamackal PA has the Individual type.

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1497909493 NPI number is provided on an as is basis without warranty of any kind. 1497909493 is maintained by the National Plan & Provider Enumeration System. The contents of Sijo G Padannamackal PA are for informational purposes only.