Individual
MRS. ANNEMARIE TREVISANI LABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
116 BUSINESS PARK DRIVE, 1ST FLOOR, UTICA, NY 13502-6313
(315) 624-7000
(315) 793-1129
Mailing address
116 BUSINESS PARK DRIVE, 1ST FLOOR, UTICA, NY 13502-6313
(315) 624-7000
(315) 793-1129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012802-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012802-1
LICENSE
NY
05
—
03126423
—
NY
Enumeration date
09/26/2008
Last updated
06/25/2020
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