Individual
ELAINE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
(315) 703-5049
Mailing address
104 UNION AVE, SUITE 804, SYRACUSE, NY 13203-1843
(315) 703-5049
(315) 703-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
332016
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
332016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03280366
—
NY
Enumeration date
07/08/2008
Last updated
05/09/2013
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