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Individual
MRS. STEPHANIE A MESSERCOLA
Active
Individual
MRS. STEPHANIE A MESSERCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0105281
NY
363A00000X
Physician Assistant
Primary
010528
NY
363AM0700X
Medical Physician Assistant
0105281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03024802
—
NY
Enumeration date
03/08/2006
Last updated
09/16/2011
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