Individual
MRS. ELIZABETH MARY PETERSON HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
PO BOX 177, 2091 ROUTE 11, LA FAYETTE, NY 13084-0177
(315) 677-9022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
301312
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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