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Rosa Cannata, PA
Surgical Physician Assistant in East Syracuse, New York
NPI 1770588758

Rosa Cannata is a Surgical Physician Assistant based in East Syracuse, NY and is specialized in Surgical. Rosa Cannata practices in East Syracuse, NY and has the professional credentials of PA. The NPI Number for Rosa Cannata is 1770588758 and holds a License No. 009113 (New York).

The current practice location address for Rosa Cannata is 5898 Bridge St, East Syracuse, NY and can be reached out via phone at 315-663-0112.

Location: 5898 Bridge St, East Syracuse, NY, 13057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770588758
Provider Name
Rosa Cannata
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5898 Bridge St, East Syracuse, NY, 13057
Phone Number
315-663-0112
Fax Number
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009113 01 NY LICENSE
02625978 05 NY
institution
Provider Business Practice Location Address Details
Address
5898 Bridge St
City
East Syracuse
State
New York
Zip
13057
Phone Number
315-663-0112
Fax Number
person
Provider Business Mailing Address Details
Address
5898 Bridge St
City
East Syracuse
State
New York
Zip
13057
Phone Number
315-663-0112
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
009113 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
009113 (New York)
Definition
Definition to come...
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