Individual
BRANDY ANN MACIAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 BROAD ST, HAMILTON, NY 13346-9518
(315) 824-1100
Mailing address
150 BROAD ST, HAMILTON, NY 13346-9518
(315) 824-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354451
NY
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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