person
Meghan Ryan Costa, PA
Medical Physician Assistant in Syracuse, New York
NPI 1255605697

Meghan Ryan Costa is a Medical Physician Assistant based in Syracuse, NY and is specialized in Medical. Meghan Ryan Costa practices in Syracuse, NY and has the professional credentials of PA. The NPI Number for Meghan Ryan Costa is 1255605697 and holds a License No. 015310-1 (New York).

The current practice location address for Meghan Ryan Costa is 736 Irving Ave, Syracuse, NY and can be reached out via phone at 315-470-7379 and via fax at 315-470-2923.

Location: 736 Irving Ave, Syracuse, NY, 13210-1690
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Provider Profile Details
NPI Number
1255605697
Provider Name
Meghan Ryan Costa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
736 Irving Ave, Syracuse, NY, 13210-1690
Phone Number
315-470-7379
Fax Number
315-470-2923
Provider Enumeration Date
03/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015310-1 01 NY NEW YORK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
736 Irving Ave
City
State
Zip
13210
Phone Number
315-470-7379
Fax Number
315-470-2923
person
Provider Business Mailing Address Details
Address
736 Irving Ave
City
State
Zip
13210
Phone Number
315-470-7379
Fax Number
315-470-2923
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
015310-1 (New York)
Definition
Definition to come...
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