Individual
ELAINE MARY SCHERBA-GERMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4898 ROYAL CRAB AVE, SYRACUSE, NY 13215-9310
(315) 430-7586
(315) 498-9129
Mailing address
4898 ROYAL CRAB AVE, SYRACUSE, NY 13215-9310
(315) 430-7586
(315) 498-9129
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
321851
NY
363LA2200X
Adult Health Nurse Practitioner
301483
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02994838
OCMS GRP MCD
NY
01
—
1235184235
OCMS GRP NPI
—
01
—
BA1047
OCMS GRP MCR
—
Enumeration date
09/22/2006
Last updated
10/24/2011
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