GEORGE JOSEPH DEVITA

FORT DRUM, NY
NPI1104803964
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363AM0700X Physician Assistant Medical
Enumeration Date2005-12-22
Last Update Date2007-07-08
Business Address
MR. GEORGE JOSEPH DEVITA PA-C
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602-5438
Phone number: 315-772-4025
Mailing Address
MR. GEORGE JOSEPH DEVITA PA-C
27082 WADDINGHAM RD
EVANS MILLS, NY 13637-3277
Phone number: 315-772-3225