MARITA POWELL

JOHNSON CITY, NY
NPI1215989538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  187655)
Enumeration Date2006-05-16
Last Update Date2010-08-05
Business Address
-- MARITA POWELL DO
40 ARCH ST
JOHNSON CITY, NY 13790-2102
Phone number: 607-763-6075
Mailing Address
-- MARITA POWELL DO
58 LUSK ST
JOHNSON CITY, NY 13790-2541
Phone number: 607-763-6293