National Provider Identifier
Paula Marie Detar
Paula Marie Detar is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Penn Yan, NY and a listed phone number of (315) 536-2601.
Profile Overview
- NPI
- 1437404449
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- July 16, 2012
- Last Updated
- July 16, 2012
Practice Location
- 270 Lake St
- Penn Yan, NY 14527-1832
Phone: (315) 536-2601
Mailing Address
- 4681 Italy Hill RD
- Branchport, NY 14418-9616
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1437404449
- Entity Type
- Individual
- Last Name
- Detar
- First Name
- Paula
- Middle Name
- Marie
- Mailing Street Address
- 4681 Italy Hill RD
- Mailing City
- Branchport
- Mailing State
- NY
- Mailing ZIP Code
- 14418-9616
- Mailing Country
- US
- Mailing Phone
- (315) 305-4012
- Practice Street Address
- 270 Lake St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1832
- Practice Country
- US
- Practice Phone
- (315) 536-2601
- Enumeration Date
- July 16, 2012
- Last Updated
- July 16, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)