Individual
PRISCILLA B AYLESWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 IRVING AVE, VA MEDICAL CENTER , DEPT OF SURGERY, SYRACUSE, NY 13210-2716
(315) 425-2687
(315) 425-2639
Mailing address
27 STATE ST, TULLY, NY 13159-3218
(315) 696-5734
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300057
NY
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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