Individual
AMANDA LYNN WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1690
(315) 651-8067
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 651-8067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
09/14/2020
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