Individual
AIESHA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023749
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05957635
—
NY
Enumeration date
02/25/2016
Last updated
04/23/2024
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