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Individual

DR. DENEAN MARIE EMERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
8 GENESEE ST, CUBA, NY 14727-1121
(585) 968-1883
(585) 968-1883
Mailing address
8 GENESEE ST, CUBA, NY 14727-1121
(585) 968-1883
(585) 968-1883

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007779
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000224698001
BC-BS #
NY
01
01 0489342 01
PRISM HEALTH CARE PAR. #
NY
01
5899852
GHI PARTIPATING #
NY
01
C07779-4
WORKERS' COMPENSATION
NY
01
X007779
LICENSE
NY
Enumeration date
10/10/2006
Last updated
05/24/2021
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