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Individual

MRS. SARAH KATHRYN LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNNP

Contact information

Practice address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Mailing address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
606234
NY
363L00000X
Nurse Practitioner
Primary
F337372
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03483589
NY
Enumeration date
05/16/2012
Last updated
10/07/2021
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