Individual
BRITTANI LEIGH BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2924 COUNTY ROUTE 17, DEKALB JUNCTION, NY 13630
(315) 347-3830
(315) 347-3840
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03470188
—
NY
Enumeration date
09/05/2007
Last updated
06/06/2019
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