363LP0808X
Syracuse, NY
Specialty
363LP0808X
Credential
FPMHNP
NPI
1790468684
4900 Broad Rd., Syracuse, NY 13215
(315) 488-3905Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lp0808x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LP0808X