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Maria Teresa De La Vega, NP
Adult Health Nurse Practitioner in Canton, New York
NPI 1255473724

Maria Teresa De La Vega is an Adult Health Nurse Practitioner based in Canton, NY and is specialized in Adult Health. Maria Teresa De La Vega practices in Canton, NY and has the professional credentials of NP. The NPI Number for Maria Teresa De La Vega is 1255473724 and holds a License No. F300013-1 (New York).

The current practice location address for Maria Teresa De La Vega is 9 Miner St, Canton, NY and can be reached out via phone at 315-386-8821 and via fax at 315-386-4732.

Location: 9 Miner St, Canton, NY, 13617-1208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255473724
Provider Name
Maria Teresa De La Vega
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9 Miner St, Canton, NY, 13617-1208
Phone Number
315-386-8821
Fax Number
315-386-4732
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00583697 05 NY
institution
Provider Business Practice Location Address Details
Address
9 Miner St
City
Canton
State
New York
Zip
13617-1208
Phone Number
315-386-8821
Fax Number
315-386-4732
person
Provider Business Mailing Address Details
Address
9 Miner St
City
Canton
State
New York
Zip
13617-1208
Phone Number
315-386-8821
Fax Number
315-386-4732
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F300013-1 (New York)
Definition
Definition to come...
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