Individual
MICHELLE ANNE DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3229 E. GENESEE ST., SYRACUSE, NY 13214
(315) 464-5726
(315) 464-2500
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4584
(315) 464-2014
(315) 464-2014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
381431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02299012
—
NY
Enumeration date
01/18/2007
Last updated
10/15/2015
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