Individual
JOANN PFEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 STATE HIGHWAY 310, CANTON, NY 13617-1436
(315) 229-3480
(315) 229-3489
Mailing address
80 STATE HIGHWAY 310, CANTON, NY 13617-1436
(315) 229-3480
(315) 229-3489
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372621
—
NY
Enumeration date
01/10/2019
Last updated
01/10/2019
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