Individual
MRS. ANGELICA PASCONE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2215 GENESEE ST., UTICA, NY 13501
(315) 801-3484
Mailing address
2209 GENESEE ST., BUSINESS OFFICE ROOM 310, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04606039
—
NY
Enumeration date
10/03/2016
Last updated
11/09/2018
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