Most Relevant Information
Provider Data
| NPI Number: | 1003481029 |
| Provider Name: | NICOLETTA SERAFINA PACILLI PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 026154 |
Most Important Dates
| Enumeration Date: | 05/21/2021 |
| Last Updated: | 07/13/2021 |
Provider Practice Location
315 S MANNING BLVD
ALBANY
NY
122081707
Practice Location Phone/Fax
| Phone: | 5185255634 |
| Fax: |
Provider Mailing Location
PO BOX 14890
ALBANY
NY
122124890
Provider Mailing Phone/Fax
| Phone: | 5185255634 |
| Fax: |