Individual
MRS. ANNAMARIA HUMISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
128 WOODSIDE LN, LIVERPOOL, NY 13090-2226
(315) 652-3500
Mailing address
128 WOODSIDE LN, LIVERPOOL, NY 13090-2226
(315) 652-3500
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
493962-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182718
—
NY
Enumeration date
02/25/2007
Last updated
07/09/2007
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