MISS Ettie Delavak

NPI #1962916106 in Oswego, New York

Provider Information

NPI Number: 1962916106
Entity Type: Individual
Name: MISS Ettie Delavak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 27, 2017
Last Updated: Nov 27, 2017

Practice Location

Address: 159 W 1ST ST
City: Oswego
State: New York
ZIP Code: 13126-2045
Phone: (315) 342-9575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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