Individual provider · Type 1 NPI

Alexander Victor Midolo-Cleveland, PA-S

Physician Assistant · Johnson City, NY

NPI number 1407369192 Active

Practice location

30 Harrison St Ste 250
Johnson City, NY 13790-2176

Call (607) 763-6580 Map

Mailing address

33 Lewis Rd, Fl 2
Binghamton, NY 13905

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X033082 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407369192

Alexander Victor Midolo-Cleveland, PA-S's National Provider Identifier is 1407369192, issued on Nov 16, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, NY. The record was last updated on Jul 30, 2025.