Individual
ALYCIA LEVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022701
NY
363AM0700X
Medical Physician Assistant
Primary
022701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05448137
—
NY
Enumeration date
10/02/2018
Last updated
05/29/2026
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