National Provider Identifier

Joanne Pedersen

Joanne Pedersen is listed in the NPPES registry with a primary specialty of Specialist in Clifton Springs, NY and a listed phone number of (315) 906-0051.

NPI 1285015800Clifton Springs, NYSpecialist

Profile Overview

NPI
1285015800
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 10, 2015
Last Updated
June 10, 2015

Practice Location

  • 210 Clifton Springs Professional Park
  • Clifton Springs, NY 14432-1041

Phone: (315) 906-0051

Specialties

  • Specialist (174400000X)
Full Record
NPI
1285015800
Entity Type
Individual
Last Name
Pedersen
First Name
Joanne
Mailing Street Address
210 Clifton Springs Professional Park
Mailing City
Clifton Springs
Mailing State
NY
Mailing ZIP Code
14432-1041
Mailing Country
US
Mailing Phone
(315) 906-0051
Practice Street Address
210 Clifton Springs Professional Park
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1041
Practice Country
US
Practice Phone
(315) 906-0051
Enumeration Date
June 10, 2015
Last Updated
June 10, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)