Doctor Name: | JEAN MARIE DABBRACCI |
NPI Number: | 1033283700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ADULT NP |
License Number: | F302397 |
Business Practice Address: | 1930 Pre Emption Rd Penn Yan, NY - 145279641 |
Business Phone Number: | 3155360086 |
Business Fax Number: | 3155364107 |
Mailing Address: | 18 Hillcrest Dr, PENN YAN |
State: | NY |
Postal Code: | 145279573 |
Phone Number: | 3155362580 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F302397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |