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NPI Code Detail

MEDICARE: MR. WILLIAM L. SISITKI JR. PA-C

MEDICARE: MR. WILLIAM L. SISITKI JR. 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
1363A00000XPhysician AssistantMA052141PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831147016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM L. SISITKI JR. PA-C
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 LYSTRA ROGERS DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-8807
Country : US
Telephone Number : 570-523-3290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/07/2026

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