Individual
MRS. SUE LISA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-5950
(315) 426-5995
Mailing address
650 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-3600
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
785785
NY
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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