Individual
KARISSA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3946 ONEIDA ST, NEW HARTFORD, NY 13413-9702
(315) 624-8300
(315) 624-8310
Mailing address
2209 GENESEE ST, BUSINESS OFFICE ROOM 315, UTICA, NY 13502
(315) 801-8534
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
735329
NY
363L00000X
Nurse Practitioner
Primary
350074
NY
Other
Enumeration date
05/26/2022
Last updated
09/13/2022
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