| Doctor Name: | MR. DARLY C JEANTY |
| NPI Number: | 1447412119 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 111751 |
| Business Practice Address: | 185 Birch Hill Rd Patterson, NY - 12563 |
| Business Phone Number: | 8458784507 |
| Business Fax Number: | |
| Mailing Address: | 185 Birch Hill Rd, PATTERSON |
| State: | NY |
| Postal Code: | 12563 |
| Phone Number: | 8458784507 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 111751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |