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Mr. George Joseph Devita, PA-C
Medical Physician Assistant in Fort Drum, New York
NPI 1104803964

George Joseph Devita is a Medical Physician Assistant based in Evans Mills, NY and is specialized in Medical. George Joseph Devita practices in Fort Drum, NY and has the professional credentials of PA-C. The NPI Number for George Joseph Devita is 1104803964 and holds a License No. (New York).

The current practice location address for George Joseph Devita is 11050 Mount Belvedere Blvd, Fort Drum, NY and can be reached out via phone at 315-772-4025 and via fax at 315-772-9498.

Location: 11050 Mount Belvedere Blvd, Fort Drum, NY, 13637-3277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104803964
Provider Name
George Joseph Devita
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11050 Mount Belvedere Blvd, Fort Drum, NY, 13637-3277
Phone Number
315-772-4025
Fax Number
315-772-9498
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11050 Mount Belvedere Blvd
City
Fort Drum
State
New York
Zip
13602-5438
Phone Number
315-772-4025
Fax Number
315-772-9498
person
Provider Business Mailing Address Details
Address
11050 Mount Belvedere Blvd
City
Fort Drum
State
New York
Zip
13602-5438
Phone Number
315-772-4025
Fax Number
315-772-9498
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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