Individual
MS. AUTUMN DAY NOVAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 S. WILBUR AVE, SYRACUSE, NY 13204
(315) 473-2957
(315) 473-4033
Mailing address
800 S. WILBUR AVE, SYRACUSE, NY 13204
(315) 473-2957
(315) 473-4033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
512429-1
NY
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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