Individual provider · Type 1 NPI
Kristy McGough
Medical Physician Assistant · Syracuse, NY
NPI number
1336667948
Active
Practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
204 Wilshire Rd
Syracuse, NY 13209-2251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 21252 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 021252 (NY) |
Medical Physician Assistant: Definition to come...
212 other providers at this address
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- Andrew Russell Christian, PA-CMedical Physician Assistant Syracuse, NY NPI 1124741509
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About NPI 1336667948
Kristy McGough's National Provider Identifier is 1336667948, issued on Sep 4, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Syracuse, NY. The record was last updated on Jul 7, 2023.