Paula Marie Detar
Paula Marie Detar is an Early Intervention Provider Agency in Penn Yan, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
270 Lake StPenn Yan, NY 14527-1832
Phone: (315) 536-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 1487809968 (NY) |
|---|
Record details
| NPI number | 1437404449 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2012 |
| Last updated in NPPES | July 16, 2012 |
| Mailing address | 4681 Italy Hill Rd, Branchport, NY 14418-9616 |
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