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“Medical Physician Assistant” (Brockport, NY)

Location: Brockport, NY
Taxonomy: Medical Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1093784704 — KELLY JEAN HALVONIK RPAC
Practice Location Address:
INTERLAKES ONCOLOGY & HEMATOLOGY PC 156 WEST AVE.
BROCKPORT NY
14420
Practice Phone: 585-395-0124
1275045791 — JOSIAH JAMES SURBATOVICH PHYSICIAN ASSISTANT
Practice Location Address:
170 WEST AVE
BROCKPORT NY
14420-1227
Practice Phone: 585-395-6052
1477042737 — THEOFANIS KALATHAS M.D.
Practice Location Address:
156 WEST AVE FL 2
BROCKPORT NY
14420-1229
Practice Phone: 585-758-7557
1750617072 — SHAUNA MARIE KETCHUM RPA-C
Practice Location Address:
300 WEST AVE
BROCKPORT NY
14420-1118
Practice Phone: 585-637-3905
1770953861 — MRS. MOLLY JEAN HORNER PA
Practice Location Address:
156 WEST AVE FL 2
BROCKPORT NY
14420-1229
Practice Phone: 585-758-7557

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