| Doctor Name: | ALICE K DELVENTHAL |
| NPI Number: | 1043275050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.N.M. |
| License Number: | F4207721 |
| Business Practice Address: | 206 Cornelia St Suite 202 Plattsburgh, NY - 129012779 |
| Business Phone Number: | 5185627777 |
| Business Fax Number: | 5185627707 |
| Mailing Address: | 206 Cornelia St, Suite 202 PLATTSBURGH |
| State: | NY |
| Postal Code: | 129012779 |
| Phone Number: | 5185627777 |
| Fax Number: | 5185627707 |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | F4207721 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |