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Search › New York › 363A00000X

Brandon Formoza, PA-C

NPI 1700778446 · on the registry since 2025

Practice

Address
50 Leroy St
Potsdam, NY 13676
Phone
(585) 236-0373
Organisation at this address
Canton-Potsdam Hospital
St. Lawrence Cardiology
Canton-Potsdam Hospital
Canton-Potsdam Hospital
Canton Potsdam Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
131

Additional practice sites

  • 1 Hospital Dr, Massena, NY

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York