Individual
CASSANDRA LIANE BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
504 SOUTHWOODS DR, MONTICELLO, NY 12701-7231
(845) 794-6037
Mailing address
504 SOUTHWOODS DR, MONTICELLO, NY 12701-7231
(845) 794-6037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710130745
—
NY
Enumeration date
09/05/2017
Last updated
09/05/2017
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