Provider Demographics
NPI:1598900839
Name:MUSCATO, JANET L (RPA-C)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:MUSCATO
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 33447
Mailing Address - Street 2:SETON IMAGING
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06150
Mailing Address - Country:US
Mailing Address - Phone:716-633-8675
Mailing Address - Fax:
Practice Address - Street 1:3730 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1732
Practice Address - Country:US
Practice Address - Phone:716-633-8675
Practice Address - Fax:716-633-9231
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008254363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant