Individual
MR. ANTHONY LAMAR KEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.N.A.
Contact information
Practice address
1409 OAK ST, SYRACUSE, NY 13203-1029
(315) 807-1387
Mailing address
1409 OAK ST, SYRACUSE, NY 13203-1029
(315) 807-1387
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
341795010402E
NY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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