Organization
UNITED CEREBRAL PALSY ASSOC OF THE NORTH COUNTRY INC
Active
Other names
Cerebral Palsy Association of the North Country Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE WEAVER RDH (DENTIAL HYGIENIST)
(315) 771-3794
Entity
Organization
Contact information
Practice address
4 COMMERCE LANE, CANTON, NY 13617
(315) 386-8191
(315) 386-1410
Mailing address
4 COMMERCE LANE, CANTON, NY 13617
(315) 386-8191
(315) 386-1410
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
022617-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995615
—
NY
Enumeration date
11/19/2008
Last updated
11/19/2008
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