Individual
KATIE PIZURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 CORPORATE DR, FARMINGTON, NY 14425-9534
(585) 924-1510
Mailing address
8955 TOBEY RD, PRATTSBURGH, NY 14873-9631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
23490
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
06/30/2023
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