Organization
SUNY UPSTATE
Active
Organization
SUNY UPSTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIKTORIA KENNEY FNP (FNP)
(607) 759-7462
Entity
Organization
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-3833
Mailing address
5104 WATERFORD WOOD WAY, FAYETTEVILLE, NY 13066-9799
(607) 759-7462
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F339820-1
NY
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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