Individual
CASSIE RENEE MASSICOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1903 SUNSET AVE, UTICA, NY 13502-5649
(315) 624-8150
(315) 797-1537
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 624-6100
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009641
VA
363A00000X
Physician Assistant
Primary
035114
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2022
Last updated
02/24/2026
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