Individual
DORENE RAIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 FINNEY BLVD, MALONE, NY 12953
(518) 483-1251
Mailing address
PO BOX 608, MALONE, NY 12953
(518) 483-1251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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