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Search › New York › 164W00000X

Courtney Bacon

NPI 1831868603 · on the registry since 2021

Practice

Address
465 N Perry St
Johnstown, NY 12095
Phone
(518) 736-3908
Organisation at this address
Fccnysarc
Fccnysarc
Fccnysarc
Fulton County Arc
Fulton County Arc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York