Individual
AMANDA M MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-5222
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-5222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F335656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03056200
—
NY
01
—
P00869152
RAILROAD MEDICARE
NY
Enumeration date
09/17/2008
Last updated
03/20/2015
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