RICHARD AXELSEN

ITHACA, NY
NPI1063227734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  032348)
Enumeration Date2025-02-10
Last Update Date2025-02-10
Business Address
RICHARD AXELSEN PA
740 S MEADOW ST
ITHACA, NY 14850-5377
Phone number: 607-319-4563
Mailing Address
RICHARD AXELSEN PA
9 SEABROOK LN
STONY BROOK, NY 11790-3323
Phone number: 631-689-1543