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Contact Information

MICHELLE M ADAMOVICH, PA
736 IRVING AVE
SYRACUSE, NY13210-1687
 Phone: 315-470-7111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MICHELLE M ADAMOVICH · (Female)

NPI # 1306441761
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/03/2020
Last updated 02/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 027487
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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