Individual
MA ELIZA FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2831
Mailing address
128 NORTHERN BLVD, CENTRAL SQUARE, NY 13036-2295
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
468470
NY
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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