Individual
SHANE SEDREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
7537 STOKES WESTERNVILLE RD APT 4, AVA, NY 13303-1737
(315) 225-0866
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
581392-01
NY
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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