Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Kate Etscorn, PA-C

Individual provider Physician Assistant · NPI 1972361442

Mary Kate Etscorn, PA-C is a Physician Assistant in Syracuse, New York. Qualified in 2025, 1 year ago. Practices with University OB/GYN Associates, a 36-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2024
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

725 Irving Ave Ste 600
Syracuse, NY 13210-1688
Phone: (315) 464-5162
Fax: (315) 464-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034908 (NY)

Record details

NPI number1972361442
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Ob/Gyn Associates — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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