Lu-Anne Antisdel, PA Valid NPI

Individual provider · Physician Assistant · Owego, NY

NPI

1104461318

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

024397 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2019-11-12

Last updated

2019-11-12