Individual
ELAINE KAZAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6642
(315) 329-7984
Mailing address
105 DEWOLFE RD, SYRACUSE, NY 13224-2249
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
435398-1
NY
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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