Individual
DOROTHY ELIZABETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MILLARD ST, DUNDEE, NY 14837-1024
(607) 243-8311
Mailing address
30 MILLARD ST, DUNDEE, NY 14837-1024
(607) 243-8311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020215
NY
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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