Individual
DYLAN LETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7371 BARBERRY LN, MANLIUS, NY 13104-1321
(315) 420-3240
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 420-3240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026189
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
02/04/2021
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