| Doctor Name: | DR. MAUREEN VANCURA |
| NPI Number: | 1245302546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 330465 |
| Business Practice Address: | 4425 Old Ridge Rd The Commons Williamson, NY - 145899363 |
| Business Phone Number: | 3154833220 |
| Business Fax Number: | 3155894893 |
| Mailing Address: | 4425 Old Ridge Rd, Po Box 934 WILLIAMSON |
| State: | NY |
| Postal Code: | 145899363 |
| Phone Number: | 3154833220 |
| Fax Number: | 3155894893 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 04/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 330465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |