Individual
PATTY RISSACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 E MAIN ST, CANTON, NY 13617-1450
(315) 261-7180
(315) 261-7183
Mailing address
80 E MAIN ST, CANTON, NY 13617-1450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0011547
VT
208000000X
Pediatrics Physician
Primary
266529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015060
—
VT
Enumeration date
03/13/2007
Last updated
02/04/2014
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