Provider Demographics
NPI:1205474061
Name:DELANEY, JOSEPHINE (MPH, MS)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 MCGILLIC RD
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-5005
Mailing Address - Country:US
Mailing Address - Phone:518-353-8185
Mailing Address - Fax:
Practice Address - Street 1:68 MCGILLIC RD
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-5005
Practice Address - Country:US
Practice Address - Phone:518-353-8185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer