Individual
AMY LYNN BRANSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 BELMORE DR, NORTH SYRACUSE, NY 13212-2101
(315) 214-5523
Mailing address
239 BELMORE DR, NORTH SYRACUSE, NY 13212-2101
(315) 214-5523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288922-1
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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