Doctor Name: | JANE WOODY |
NPI Number: | 1316284185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 524643-1 |
Business Practice Address: | 471 Pennsylvania Ave Apalachin, NY - 137322501 |
Business Phone Number: | 6076253232 |
Business Fax Number: | |
Mailing Address: | 435 Glenwood Rd, BINGHAMTON |
State: | NY |
Postal Code: | 139051606 |
Phone Number: | 6077633300 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2013 |
NPI Last Update Date: | 01/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 524643-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |