Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 044639-01 | NY |
NPI | 1033757588 |
---|---|
Provider Name | Victoria Dearing |
First Address | Binghamton, NY 13903-1840 |
Second Address | Cooperstown, NY 13326-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2019 |
Last Update Date | 16/12/2019 |