Individual
JOYCE LINNENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 PROSPECT AVE, PRIMARY CARE CTR-MAIN CAMPUS STE 706, SYRACUSE, NY 13203-1807
(315) 703-5200
(315) 703-5201
Mailing address
301 PROSPECT AVE, PRIMARY CARE CTR/POB STE 706, SYRACUSE, NY 13203-1807
(315) 703-5200
(315) 703-5201
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
420082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03418664
—
NY
Enumeration date
02/14/2007
Last updated
03/19/2014
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