Individual
REBECCA DOCKSTATER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 MAIN ST, SUITE 302, CORTLAND, NY 13045-6606
(607) 753-3797
(607) 753-6677
Mailing address
17 MAIN ST, SUITE 302, CORTLAND, NY 13045-6606
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
334669
NY
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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