Individual
DR. CLAUDWARDYNE ALEXIS THEVENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
17 JOSEPHINE AVE, KINGSTON, NY 12401-5323
(845) 616-5571
Mailing address
17 JOSEPHINE AVE, KINGSTON, NY 12401-5323
(845) 616-5571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
258924
NY
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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