Individual
DR. JOHN C DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 RAYMOND ST, POTSDAM, NY 13676-1163
(315) 265-9271
Mailing address
23939 CO RT 59, DEXTER, NY 13634
(315) 778-3592
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
315559
NY
390200000X
Student in an Organized Health Care Education/Training Program
250480
NC
Other
Enumeration date
04/29/2019
Last updated
07/25/2024
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