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Individual

KELLY A TESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
195 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 469-8700
(315) 671-5758
Mailing address
195 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 469-8700
(315) 671-5758

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421124-1
NY

Other

Enumeration date
07/19/2013
Last updated
08/04/2014
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