Individual
ROBERT JAMES PICKERAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
53-59 PUBLIC SQ STE 301, WATERTOWN, NY 13601-2674
(315) 782-2141
(315) 782-5123
Mailing address
53-59 PUBLIC SQ STE 301, WATERTOWN, NY 13601-2674
(315) 786-8700
(315) 782-5123
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024741
NEW YORK STATE
NY
Enumeration date
02/19/2020
Last updated
03/03/2020
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