Individual
JACOB TOSCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 771-2220
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0231296
NY
Other
Enumeration date
05/26/2017
Last updated
05/21/2021
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