Individual
MADORA DEON MOGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
600 E GENESEE ST STE 323, SYRACUSE, NY 13202-3108
(315) 426-1100
(315) 426-1153
Mailing address
600 E GENESEE ST STE 323, SYRACUSE, NY 13202-3108
(315) 426-1100
(315) 426-1153
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001985
NY
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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