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Individual

MRS. CHRISTINE CECOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
271 ANDREWS ST, MASSENA, NY 13662-3401
(315) 769-9908
(315) 764-5430
Mailing address
271 ANDREWS ST, MASSENA, NY 13662-3401
(315) 769-9908
(315) 764-5430

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0060991
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060991
LICENSE NUMBER
NY
05
01216540
NY
Enumeration date
12/29/2006
Last updated
05/28/2008
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