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Individual

DAVANGERE P DEVANAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
425 ROBINSON ST, BINGHAMTON, NY 13901-4101
(607) 724-1391
Mailing address
8 E BELVEDERE LN, TARRYTOWN, NY 10591-6605

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
160258
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160258
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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