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Christine Marie Betancourt, PA-C

Physician Assistant in Erie, PA. Individual provider (NPI-1).

NPI number1245647148
StatusActive
Last updated in NPPESOct 7, 2020

Details

NPI
1245647148
Entity type
Individual (NPI-1)
Name
Christine Marie Betancourt
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2014
Certification date
Oct 7, 2020
Last updated
Oct 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantMA059205PAYes
363A00000X Physician Assistant017724NY

Practice location

1645 W 8th St
Erie, PA 16505-5007

Phone 814-875-8700

Mailing address

829 W 2nd St
Erie, PA 16507-1101

Phone 516-721-4428

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