Individual provider · Type 1 NPI

Brandon James Formoza, PA-C

Physician Assistant · Potsdam, NY

NPI number 1700778446 Active

Practice location

50 Leroy St
Potsdam, NY 13676-1786

Call (585) 236-0373 Map

Mailing address

24 Sober St
Norfolk, NY 13667-4147

Other practice locations

  • 1 Hospital Dr, Massena, NY 13662-1056 · (585) 236-0373

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034031 (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…

133 other providers at this address

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About NPI 1700778446

Brandon James Formoza, PA-C's National Provider Identifier is 1700778446, issued on Jul 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Potsdam, NY. The record was last updated on Jul 17, 2025.