MEDICARE: ALICIA MCHALE PA

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	363AM0700X	Medical Physician Assistant	17757	NY
2	363AM0700X	Medical Physician Assistant	017757	NY

General Provider Information

NPI Number	:	1609285469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MCHALE PA

Provider Business Mailing Address
First Line	:	7309 SENECA RD N STE 109
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-9691
Country	:	US
Telephone Number	:	607-385-3700
Fax Number	:	607-385-3160

Provider Business Practice Location Address
First Line	:	7309 SENECA RD N STE 109
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-9691
Country	:	US
Telephone Number	:	607-385-3700
Fax Number	:	607-385-3160

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

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	06/29/2023

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Directions to “ ALICIA MCHALE PA” Practice Location

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