Individual provider · Type 1 NPI
Susan Laporta, PA
Medical Physician Assistant · Gloversville, NY
NPI number
1750653044
Active
Practice location
99 E State St
Gloversville, NY 12078-1203
Fax (518) 775-4283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 015425 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1750653044
Susan Laporta, PA's National Provider Identifier is 1750653044, issued on Feb 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gloversville, NY. The record was last updated on Feb 11, 2013.