Individual
DEBORAH L CLOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
140 W 6TH ST, SUITE 110, OSWEGO, NY 13126-2525
(315) 342-6215
(315) 342-6219
Mailing address
140 W 6TH ST, SUITE 110, OSWEGO, NY 13126-2525
(315) 342-6215
(315) 342-6219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02631932
—
NY
Enumeration date
07/03/2006
Last updated
04/08/2011
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