Individual
COLLETTE SYVERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
970 ROUTE 146, CLIFTON PARK, NY 12065-3643
(518) 881-0571
Mailing address
970 ROUTE 146, CLIFTON PARK, NY 12065-3643
(518) 881-0571
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
488906
NY
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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