Individual
MS. MARIA RENEE HAYDUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7728
Mailing address
918 BEVERLY DR, SYRACUSE, NY 13219-2802
(315) 488-0477
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
519536
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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