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Bethany Brooke Pajak, DO
General Practice Physician in Fort Drum, New York
NPI 1194011122

Bethany Brooke Pajak is a General Practice Physician based in Fort Drum, NY. Bethany Brooke Pajak practices in Fort Drum, NY and has the professional credentials of DO. The NPI Number for Bethany Brooke Pajak is 1194011122 and holds a License No. 276761 (New York).

The current practice location address for Bethany Brooke Pajak is 11050 Mt Belvedere Blvd, Fort Drum, NY and can be reached out via phone at 315-772-6976.

Location: 11050 Mt Belvedere Blvd, Fort Drum, NY, 13602-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194011122
Provider Name
Bethany Brooke Pajak
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11050 Mt Belvedere Blvd, Fort Drum, NY, 13602-2603
Phone Number
315-772-6976
Fax Number
Provider Enumeration Date
06/28/2011
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
11050 Mt Belvedere Blvd
City
Fort Drum
State
New York
Zip
13602-2603
Phone Number
315-772-6976
Fax Number
person
Provider Business Mailing Address Details
Address
11050 Mt Belvedere Blvd
City
Fort Drum
State
New York
Zip
13602-2603
Phone Number
315-772-6976
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
276761 (New York)
Definition
Definition to come...
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