Desravines, Marie-Jeanne
Desravines, Marie-Jeanne is an individual health care provider with primary practice located at 522 S 4Th St Suite 500, Fulton NY 13069-2946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Desravines, Marie-Jeanne can be contacted via phone (315) 598-4740.Contact Information
Primary practice address
522 S 4Th St Suite 500
Fulton NY 13069-2946
Phone: (315) 598-4740
Fax: (315) 598-4719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 221962 | New York |
Profile Details
| NPI number | 1285741199 |
|---|---|
| LBN Legal business name | Desravines, Marie-Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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