Individual
ADELA TAHTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 624-8600
Mailing address
100 PITCHER ST, UTICA, NY 13504-8901
(315) 917-9966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031243
NY
Other
Enumeration date
09/18/2023
Last updated
01/18/2024
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