Individual
REGINA CANUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 E WASHINGTON ST, SYRACUSE, NY 13210-1173
(315) 426-3600
(315) 426-7757
Mailing address
1330 E WASHINGTON ST, SYRACUSE, NY 13210-1173
(315) 426-3600
(315) 426-7757
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
462595
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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