Individual
EMMA THERESE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 IRVING AVE STE 804, SYRACUSE, NY 13210-1612
(315) 214-7700
(315) 214-7701
Mailing address
201 MELROSE AVE, SYRACUSE, NY 13206-3248
(585) 747-1215
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383558-01
NY
Other
Enumeration date
08/02/2023
Last updated
01/15/2024
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