Individual
ALESIA KHMELNYTSKYY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3355
(607) 547-4719
Mailing address
312 JEFFERSON AVE, UTICA, NY 13501-1635
(315) 327-7561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016832-1
NY
Other
Enumeration date
09/24/2013
Last updated
01/12/2022
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