Individual
CATHLEEN E HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
512 STANDISH DR, SYRACUSE, NY 13224-2016
(315) 432-5636
Mailing address
512 STANDISH DR, SYRACUSE, NY 13224-2016
(315) 432-5636
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3014401
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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