| Brandon James Formoza, PA-C | |
|
50 Leroy St, Potsdam, NY 13676-1786 | |
| (585) 236-0373 | |
| Not Available |
| Full Name | Brandon James Formoza |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 50 Leroy St, Potsdam, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700778446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 034031 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon James Formoza, PA-C 24 Sober St, Norfolk, NY 13667-4147 Ph: (315) 663-7791 | Brandon James Formoza, PA-C 50 Leroy St, Potsdam, NY 13676-1786 Ph: (585) 236-0373 |
Heather Mackinnon, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Bernadette Avila, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 | |
An Tulloch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Elm St, Potsdam, NY 13676 Phone: 315-261-5420 | |
Christina Kashmer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Luke Alexander Gillis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Matthew Cheevers, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dawn M. White, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5599 |