Individual
MR. PETER R IANNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.-C
Contact information
Practice address
11 ALVENA AVE, CORTLAND, NY 13045-1150
(074) 285-7576
(607) 428-5759
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(315) 478-0840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008103
NY
363AM0700X
Medical Physician Assistant
Primary
008103
NY
Other
Enumeration date
01/02/2007
Last updated
04/02/2021
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