Individual provider · Type 1 NPI

Hannah Lovallo, PA-C

Medical Physician Assistant · Fayetteville, NY

NPI number 1902134216 Active

Practice location

4103 Medical Center Dr
Fayetteville, NY 13066-6600

Call (315) 637-7800 Map

Fax (315) 637-7808

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA054237 (PA)
Medical Physician Assistant Primary 363AM0700X015364 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1902134216

Hannah Lovallo, PA-C's National Provider Identifier is 1902134216, issued on Nov 24, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NY. The record was last updated on Nov 9, 2015.