Most Relevant Information
Provider Data
| NPI Number: | 1003807736 |
| Provider Name: | DIANE I LEGENDRE PHD, RPAC |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 006379-1 |
Most Important Dates
| Enumeration Date: | 11/02/2005 |
| Last Updated: | 03/11/2021 |
Provider Practice Location
130 CENTER WAY
CORNING
NY
148302255
Practice Location Phone/Fax
| Phone: | 6079369971 |
| Fax: |
Provider Mailing Location
1 GUTHRIE SQ
SAYRE
PA
188401625
Provider Mailing Phone/Fax
| Phone: | 5708885858 |
| Fax: |