Individual
BERNICE W ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 E MATSON AVE, SYRACUSE, NY 13205-1804
(315) 492-1027
Mailing address
128 E MATSON AVE, SYRACUSE, NY 13205-1804
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NY
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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