Individual
ALAN W DEMORANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1500 GENESEE ST, UTICA, NY 13502
(315) 735-9501
(315) 735-9769
Mailing address
118 GLEN ROAD S, ROME, NY 13442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4933721-1
NY
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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