John Henry Veracka PTA

NPI 1023328077 - Specialist - 174400000X

NPI Details
NPI 1023328077
Gender Male
Enumeration Date 10/08/2010
Last Updated 10/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
700 CORPORATE BLVD
NEWBURGH NY, 12550-6416, US
Phone (845) 561-3655
Fax
Business Location
700 CORPORATE BLVD
NEWBURGH NY, 12550-6416, US
Phone (845) 561-3655
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 005652-1
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According to our database, Mr. John Henry Veracka PTA NPI is 1023328077, taxonomy code is 174400000X and license number is 005652-1, license state is located at New York. John Henry Veracka PTA physically located at 700 Corporate Blvd, Newburgh NY, 12550-6416. NPI Number John Henry Veracka PTA has the Individual type.

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1023328077 NPI number is provided on an as is basis without warranty of any kind. 1023328077 is maintained by the National Plan & Provider Enumeration System. The contents of John Henry Veracka PTA are for informational purposes only.