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Individual

DR. JANETTE SERRANO DE MALAVET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 936-9971
(607) 936-2600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200132-1
NY
208000000X
Pediatrics Physician
MD055134L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015527510001
PA
05
01575671
NY
Enumeration date
02/07/2006
Last updated
09/15/2011
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