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Individual
JOHN RAYMOND ANNESSA
Active
Individual
JOHN RAYMOND ANNESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008688
THE UNIVERSITY OF THE STATE OF NEW YORK STATE EDUCATION DEPARTMENT
NY
01
—
1052954
THE NATIONAL COMMISSION OF THE CERTIFICATION OF PHYSICIAN ASSISTANTS
GA
Enumeration date
02/18/2009
Last updated
10/17/2019
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