Individual
YAVONNE MARIE YAGER MAGLIOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2-8 W MAIN ST, JOHNSTOWN, NY 12095-2308
(518) 762-8215
Mailing address
2-8 W MAIN ST, JOHNSTOWN, NY 12095-2308
(518) 762-8215
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
003995-1
NY
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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