Individual
MS. JESSICA L TISCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.A.
Contact information
Practice address
144 STANDART AVE, AUBURN, NY 13021-1508
(315) 255-1100
(315) 255-1322
Mailing address
144 STANDART AVE, AUBURN, NY 13021-1508
(315) 729-8416
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010608-1
NY
Other
Enumeration date
03/28/2006
Last updated
12/15/2014
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