Organization · Type 2 NPI
Maridanielle D. Annicchiarico, Registered Physician Assistant-Certifie
Surgical Physician Assistant · Newburgh, NY
NPI number
1801040126
Active
Practice location
15 Black Angus Ct
Newburgh, NY 12550-1567
Mailing address
PO Box 10082
Newburgh, NY 12552-0082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 005535-1 (NY) |
Surgical Physician Assistant: Definition to come...
About NPI 1801040126
Maridanielle D. Annicchiarico, Registered Physician Assistant-Certifie's National Provider Identifier is 1801040126, issued on Nov 13, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newburgh, NY. The record was last updated on Nov 13, 2008.