Individual
TANYA MARY LADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 KINNEY GULF RD, CORTLAND, NY 13045-9181
(607) 591-4590
Mailing address
4109 KINNEY GULF RD, CORTLAND, NY 13045-9181
(607) 591-4590
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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