Individual
JULIE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 744-7034
Mailing address
502 3RD ST, LIVERPOOL, NY 13088-4451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
662082
NY
Other
Enumeration date
01/30/2023
Last updated
12/21/2023
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