Amy L. Corcoran, RPA-C
Physician Assistant in Syracuse, NY. Individual provider (NPI-1).
NPI number1245289727
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1245289727
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amy L. Corcoran
- Credential
- RPA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2006
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 005317 | NY | Yes |
Practice location
301 Prospect AveSyracuse, NY 13203-1899
Phone 315-448-5111
Mailing address
5 Teasel LnSkaneateles, NY 13152-1346
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