Individual
AMADU TIJAN BARRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
175 RUTH AVE, SYRACUSE, NY 13210-2807
(646) 269-5849
Mailing address
175 RUTH AVE, SYRACUSE, NY 13210-2807
(646) 269-5849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310081
NY
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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