Individual
MRS. AMY LYNN KASPEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5100 W TAFT RD, SUITE 1C, LIVERPOOL, NY 13088-3807
(315) 452-2333
(315) 452-2336
Mailing address
5100 W TAFT RD, SUITE 1C, LIVERPOOL, NY 13088-3807
(315) 452-2333
(315) 452-2336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012899
NY
363AM0700X
Medical Physician Assistant
MA053578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03486808
—
NY
Enumeration date
11/02/2008
Last updated
07/16/2013
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