Diane I Legendre PHD, RPAC

NPI 1003807736 - Physician Assistant - 363A00000X

NPI Details
NPI 1003807736
Gender Female
Enumeration Date 11/02/2005
Last Updated 09/14/2011
Entity Type Individual
Active Over 12 years ago
Practice Location
144 E 1ST ST
CORNING NY, 14830-2711, US
Phone (607) 962-6004
Fax (607) 962-6059
Business Location
SAYRE PA, 18840-1625, US
Phone (570) 888-5858
Taxonomy Code 363A00000X
License State New York
License Number 006379-1
Remove 1003807736 NPI Number

According to our database, Diane I Legendre PHD, RPAC NPI is 1003807736, taxonomy code is 363A00000X and license number is 006379-1, license state is located at New York. Diane I Legendre PHD, RPAC physically located at 144 E 1st St, Corning NY, 14830-2711. NPI Number Diane I Legendre PHD, RPAC has the Individual type.

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1003807736 NPI number is provided on an as is basis without warranty of any kind. 1003807736 is maintained by the National Plan & Provider Enumeration System. The contents of Diane I Legendre PHD, RPAC are for informational purposes only.