Individual
MS. SHIRA SMALL-CANGIALOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
739 STATE HIGHWAY 28 STE 9, ONEONTA, NY 13820-3590
(607) 431-1015
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3480
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007426
NY
Other
Enumeration date
04/04/2007
Last updated
10/05/2018
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