Individual
MS. DIANE ELLIOTT MESZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
421 MONTGOMERY ST FL 9, SYRACUSE, NY 13202-2923
(315) 435-3295
Mailing address
7380 PHELPS AVE, WOLCOTT, NY 14590-9347
(315) 587-2044
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420074-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4145863
MVP
NY
Enumeration date
03/14/2007
Last updated
07/08/2007
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