Individual
JENI LYNNE VANCISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
(607) 753-0286
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5497
NY
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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