Individual
JENNIFER DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7308
Mailing address
1001 W FAYETTE ST, 400, SYRACUSE, NY 13204-2859
(315) 459-6326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
338757
NY
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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