Individual
DALTON THOMAS WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3456
Mailing address
351 BISSELL RD, FLY CREEK, NY 13337-2109
(518) 955-0752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023791
NY
Other
Enumeration date
05/28/2019
Last updated
06/18/2024
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