Individual
PAMELA D'ADDEZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41 MAPLE ST, WALTON, NY 13856-1439
(607) 865-9171
Mailing address
PO BOX 301, WALTON, NY 13856-0301
(607) 865-9171
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
218956-1
NY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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