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Individual

FATIHA BACHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
4921 DRIFTWOOD DR, LIVERPOOL, NY 13088-5834
(315) 664-9221

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343247
NY

Other

Enumeration date
07/06/2018
Last updated
07/06/2018
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