Individual
PAT ANN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S GENEVA ST STE 109, ITHACA, NY 14850-5443
(607) 664-7366
Mailing address
301 S GENEVA ST STE 109, ITHACA, NY 14850-5443
(607) 664-7366
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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