Individual
MS. OLIVIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-6295
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-6295
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430691-1
NY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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