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Individual

DEDRA D BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5820
(315) 464-8699
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5820
(315) 464-8699

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336322
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03241889
NY
Enumeration date
07/20/2010
Last updated
08/21/2013
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