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NPI Code Detail

MEDICARE: GARRETT OSSOLINSKI PA-C

MEDICARE:   GARRETT  OSSOLINSKI  PA-C
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
1363AS0400XSurgical Physician Assistant030862NY
2363A00000XPhysician Assistant030862NY

General Provider Information

NPI Number : 1760269344
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT OSSOLINSKI PA-C
Provider Business Mailing Address
First Line : 155 OLD CASTLE POINT RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-7062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 OLD CASTLE POINT RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-7062
Country : US
Telephone Number : 845-522-4361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 01/10/2024

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Directions to “ GARRETT OSSOLINSKI PA-C” Practice Location

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