Doctor Name: | MRS. CECILIA DEAN |
NPI Number: | 1477676716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA |
License Number: | 005188 |
Business Practice Address: | 107 W 4th St Mt Vernon, NY - 105504002 |
Business Phone Number: | 9146997200 |
Business Fax Number: | 9146990837 |
Mailing Address: | 107 West 4th Street, Mount Vernon Neighborhood Health Center MOUNT VERNON |
State: | NY |
Postal Code: | 10550 |
Phone Number: | 9146997200 |
Fax Number: | 9146990837 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 005188 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |