Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Elijah Moroscallo Cerdena, PA-C

Individual provider Physician Assistant · NPI 1215703699

Justin Elijah Moroscallo Cerdena, PA-C is a Physician Assistant in Ithaca, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

215 E State St
Ithaca, NY 14850-5547
Phone: (607) 274-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215703699
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

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