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Christina Waiculonis, PA-C

Physician Assistant, Medical in Johnson City, NY. Individual provider (NPI-1).

NPI number1346677366
StatusActive
Last updated in NPPESOct 4, 2013

Details

NPI
1346677366
Entity type
Individual (NPI-1)
Name
Christina Waiculonis
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2013
Last updated
Oct 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical017014NYYes

Practice location

260 Riverside Dr
Johnson City, NY 13790-2798

Phone 607-798-7811 · Fax 607-770-7035

Mailing address

260 Riverside Dr
Johnson City, NY 13790-2798

Phone 607-798-7811 · Fax 607-770-7035

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