Individual
ANDREA PICOZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 RIVER ST, OLYPHANT, PA 18447-1475
(570) 383-3636
Mailing address
221 RIVER ST, OLYPHANT, PA 18447-1475
(570) 383-3636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TMA051761
PA
Other
Enumeration date
08/29/2007
Last updated
06/26/2012
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