Individual
MARY MARKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 GLENFIELD DR, SYRACUSE, NY 13215-1902
(315) 383-5443
Mailing address
4850 GLENFIELD DR, SYRACUSE, NY 13215-1902
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
304319-1
NY
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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