Individual
AMANDA L PERSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14214 CHURCH STREET, HARRISVILLE, NY 13648
(315) 537-5041
(315) 537-5037
Mailing address
14214 CHURCH STREET, HARRISVILLE, NY 13648
(315) 537-5041
(315) 537-5037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018156
NY
Other
Enumeration date
10/10/2014
Last updated
09/12/2024
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