Johnna Delevan MS, ED

NPI 1053662510 - Specialist - 174400000X

NPI Details
NPI 1053662510
Gender Female
Enumeration Date 09/25/2012
Last Updated 09/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
100 SARATOGA VILLAGE BLVD
SUITE 35
MALTA NY, 12020-3737, US
Phone (518) 899-9235
Fax
Business Location
100 SARATOGA VILLAGE BLVD
SUITE 35
MALTA NY, 12020-3737, US
Phone (518) 899-9235
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number $$$$$$$$$
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According to our database, Mrs. Johnna Delevan MS, ED NPI is 1053662510, taxonomy code is 174400000X and license number is $$$$$$$$$, license state is located at New York. Johnna Delevan MS, ED physically located at 100 Saratoga Village Blvd, Malta NY, 12020-3737. NPI Number Johnna Delevan MS, ED has the Individual type.

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1053662510 NPI number is provided on an as is basis without warranty of any kind. 1053662510 is maintained by the National Plan & Provider Enumeration System. The contents of Johnna Delevan MS, ED are for informational purposes only.