Individual
MRS. MAXINE FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
22 560184
NY
Other
Enumeration date
04/26/2011
Last updated
03/19/2014
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