SHANAMAE VICTOR

COOPERSTOWN, NY
NPI1326442625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  018165)
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
-- SHANAMAE VICTOR P.A
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-6982
Mailing Address
-- SHANAMAE VICTOR P.A
73 WILKINS AVE
ALBANY, NY 12206-3250
Phone number:
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