Individual
SPRING FAUCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
Mailing address
33 LEWIS RD, 2ND FLOOR, BINGHAMTON, NY 13905
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
340870
NY
Other
Enumeration date
07/13/2016
Last updated
10/02/2017
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