MEDICARE: DANICA MAY AQUITANIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	033704	NY

General Provider Information

NPI Number	:	1225808876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANICA MAY AQUITANIA

Provider Business Mailing Address
First Line	:	1900 EMPIRE BLVD STE 100
Second Line	:
City	:	WEBSTER
State	:	NY
Zip	:	14580-1934
Country	:	US
Telephone Number	:	585-787-0720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 EMPIRE BLVD STE 100
Second Line	:
City	:	WEBSTER
State	:	NY
Zip	:	14580-1934
Country	:	US
Telephone Number	:	585-787-0720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	03/04/2026

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Directions to “ DANICA MAY AQUITANIA ” Practice Location

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