Individual
JOAN MARIE DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 E BRIGHTON AVE, SYRACUSE, NY 13205-2201
(315) 413-3375
(315) 492-1672
Mailing address
700 E BRIGHTON AVE, SYRACUSE, NY 13205-2201
(315) 413-3375
(315) 492-1672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178268-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F300893
NY
363LG0600X
Gerontology Nurse Practitioner
F340410
NY
Other
Enumeration date
07/13/2006
Last updated
07/19/2011
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