MR. Blair Lee Ciccarelli, RPA-C

NPI #1861825473 in Amsterdam, New York

Provider Information

NPI Number: 1861825473
Entity Type: Individual
Name: MR. Blair Lee Ciccarelli, RPA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 427 GUY PARK AVE
City: Amsterdam
State: New York
ZIP Code: 12010-1054
Phone: (518) 841-7237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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