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Individual
KIM SYRACUSE
Active
Individual
KIM SYRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
122033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122033
NYS
NY
Enumeration date
05/08/2023
Last updated
11/17/2023
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