Individual
CHELSEA L SEAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 624-5764
(315) 624-4839
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
702
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04536756
—
NY
Enumeration date
12/31/2015
Last updated
10/17/2019
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