Individual provider · Type 1 NPI

Jody James Decastro, PA-C

Medical Physician Assistant · Erie, PA

NPI number 1457633943 Active

Practice location

1910 Sassafras St Ste 300
Erie, PA 16502-2716

Call (814) 452-7575 Map

Fax (814) 452-7574

Mailing address

152 Foote Avenue
Jamestown, NY 14701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X015034 (NY)
Medical Physician Assistant Primary 363AM0700XMA055017 (PA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1457633943

Jody James Decastro, PA-C's National Provider Identifier is 1457633943, issued on Sep 12, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Erie, PA. The record was last updated on Oct 7, 2022.