Individual
MS. MARY ELLEN CROLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,ANP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
8136 E SENECA TPKE, MANLIUS, NY 13104-2102
(315) 682-9420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300253
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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