363LA2100X
Syracuse, NY
Specialty
363LA2100X
Credential
FNP
NPI
1477684538
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 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X