Individual
CHRISTINE MARIE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1645 W 8TH ST, ERIE, PA 16505-5007
(814) 875-8700
Mailing address
829 W 2ND ST, ERIE, PA 16507-1101
(516) 721-4428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017724
NY
363A00000X
Physician Assistant
Primary
MA059205
PA
Other
Enumeration date
07/13/2014
Last updated
10/07/2020
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