Larry Cleveland Vann CASAC

NPI 1124141064 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1124141064
Gender Male
Enumeration Date 04/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
64 2ND AVE
ALBANY NY, 12202-1240, US
Phone (518) 449-5170
Fax (518) 598-0493
Business Location
ALBANY NY, 12206-1955, US
Phone (518) 221-4929
Taxonomy Code 171M00000X
License State New York
License Number 17245
Remove 1124141064 NPI Number

According to our database, Mr. Larry Cleveland Vann CASAC NPI is 1124141064, taxonomy code is 171M00000X and license number is 17245, license state is located at New York. Larry Cleveland Vann CASAC physically located at 64 2nd Ave, Albany NY, 12202-1240. NPI Number Larry Cleveland Vann CASAC has the Individual type.

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1124141064 NPI number is provided on an as is basis without warranty of any kind. 1124141064 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Cleveland Vann CASAC are for informational purposes only.