Individual
MS. JUANITA MARIE DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 CLINTON ST, BINGHAMTON, NY 13905-2212
(607) 763-2786
(607) 763-2756
Mailing address
114 CLINTON ST, BINGHAMTON, NY 13905-2212
(607) 763-2786
(607) 763-2756
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
497769
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043510605
—
NY
05
—
XXX-XX-1451
—
NY
Enumeration date
03/20/2018
Last updated
03/20/2018
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