Individual
MR. DARLY C JEANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 BIRCH HILL RD, PATTERSON, NY 12563
(845) 878-4507
Mailing address
185 BIRCH HILL RD, PATTERSON, NY 12563
(845) 878-4507
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
111751
NY
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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