Doctor Name: | MRS. PAMELA JOY ARUSCAVAGE |
NPI Number: | 1043669278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 340644 |
Business Practice Address: | 154 Main St Massena, NY - 136621905 |
Business Phone Number: | 3157696585 |
Business Fax Number: | |
Mailing Address: | 213 Wentz St, KUTZTOWN |
State: | PA |
Postal Code: | 195301029 |
Phone Number: | 6103016287 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2016 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 340644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |