Richard Axelsen, PA

NPI #1063227734 in Ithaca, New York

Provider Information

NPI Number: 1063227734
Entity Type: Individual
Name: Richard Axelsen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 10, 2025
Last Updated: Feb 10, 2025

Practice Location

Address: 740 S MEADOW ST
City: Ithaca
State: New York
ZIP Code: 14850-5377
Phone: (607) 319-4563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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