Individual
ERIKA DELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 663-0500
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024280
NY
Other
Enumeration date
04/30/2019
Last updated
11/01/2021
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