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MR. VLADIMIR HANTATUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
620 ERIE BLVD W, SYRACUSE, NY 13204-2445
(315) 425-4400
Mailing address
304 IDLEWOOD BLVD, BALDWINSVILLE, NY 13027-3124
(315) 373-7999

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404179-01
NY

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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