Individual
VICTORIA PAIGE TASOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 917-9204
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 917-9204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030057
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/08/2023
Last updated
05/06/2026
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