Individual
MRS. SHIRLEY ANN DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 STATE HIGHWAY 345, POTSDAM, NY 13676-9658
(315) 322-5584
(315) 322-5584
Mailing address
1355 STATE HIGHWAY 345, POTSDAM, NY 13676-9658
(315) 322-5584
(315) 322-5584
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0565186
—
NY
Enumeration date
02/15/2007
Last updated
02/12/2008
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