Individual
BRANDON JAY REXFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
736 IRVING AVE STE 9100, SYRACUSE, NY 13210-1602
(315) 470-7577
Mailing address
8 KNIGHTS CIR, BALDWINSVILLE, NY 13027-8256
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350554
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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