Individual provider · Type 1 NPI
Zachary Revette, PA
Medical Physician Assistant · Oswego, NY
NPI number
1437856002
Active
Practice location
140 W 6th St Ste 210
Oswego, NY 13126-2554
Fax (315) 349-5800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 033090 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1437856002
Zachary Revette, PA's National Provider Identifier is 1437856002, issued on Feb 14, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oswego, NY. The record was last updated on Jan 6, 2025.