Individual
DANIELLE DESTINY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 ERIE BLVD W, SYRACUSE, NY 13204-2445
(315) 551-2985
Mailing address
620 ERIE BLVD W, SYRACUSE, NY 13204-2445
(315) 551-2985
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
N05725-01
NY
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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