Individual
BROOKE CORLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
Mailing address
205 MANOR DR, NORTH SYRACUSE, NY 13212-1010
(518) 796-2735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344489
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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