Individual
SYDNEY MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
847 JAMES ST, SYRACUSE, NY 13203-2504
(315) 701-1516
Mailing address
6150 DONALD AVE, NORTH SYRACUSE, NY 13212-1811
(315) 278-2203
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403006
NY
Other
Enumeration date
06/24/2020
Last updated
08/19/2020
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