Individual
ORISHA GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3616
Mailing address
4 GLENCOVE CT, LIVERPOOL, NY 13090-3915
(315) 254-7430
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
837933
NY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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