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Individual

DR. DENISE VERA NICASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
75 W PULTENEY ST, CORNING, NY 14830-2252
(607) 962-3387
(607) 937-3674
Mailing address
75 WEST PULTENEY ST, CORNING, NY 14830-2252
(607) 962-3387
(607) 937-3674

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0065542
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578625927
BLUE CROSS BLUE SHIELD
NY
01
C06554-2B
NYS WORKER'S COMPENSATION
NY
Enumeration date
12/06/2005
Last updated
07/21/2022
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