Individual
EILEEN S ROSECRANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 HARRISON ST, SUITE 117, SYRACUSE, NY 13202-3188
(315) 464-6100
(315) 464-9245
Mailing address
550 HARRISON ST, SUITE 117, SYRACUSE, NY 13202-3188
(315) 464-6100
(315) 464-9245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393662
—
NY
Enumeration date
07/08/2006
Last updated
10/23/2012
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