Individual
MICHAEL BAMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 374-1176
Mailing address
4240 LYRA CRSE, LIVERPOOL, NY 13090-1906
(315) 374-1164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711728-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
711728
NY
Other
Enumeration date
02/24/2022
Last updated
02/23/2023
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