Individual
BRIDGET HANUSZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(156) 431-5471
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405045-01
NY
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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