Individual
SHERENE M LAMONTAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7572
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-5726
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
499726
NY
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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