Individual provider · Type 1 NPI
Michelle Margaret Ederer, B.A., M.A., P.A.-C
Medical Physician Assistant · Syracuse, NY
NPI number
1326020033
Active
Practice location
3504 W Genesee St
Syracuse, NY 13219-2008
Mailing address
121 Jordan St
Skaneateles, NY 13152-1113
Other practice locations
- 4882B North Jefferson St, Pulaski, NY 13142-4713 · (315) 298-2768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 006151 (NY) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1326020033
Michelle Margaret Ederer, B.A., M.A., P.A.-C's National Provider Identifier is 1326020033, issued on Nov 17, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Syracuse, NY. The record was last updated on Mar 17, 2018.