Individual
MRS. ANN C ERMACOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6 DEVEREUX LN, WHITESBORO, NY 13492-2521
(315) 725-6648
Mailing address
6 DEVEREUX LN, WHITESBORO, NY 13492-2521
(315) 725-6648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
124998-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124998-1
—
NY
Enumeration date
05/14/2010
Last updated
05/14/2010
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