Individual
MARY THERESE KAPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4939 BRITTONFIELD PKWY, BUILDING B SUITE 210, EAST SYRACUSE, NY 13057-9208
(315) 471-8404
(315) 471-6803
Mailing address
7136 NELSON RD, CANASTOTA, NY 13032-4633
(315) 697-7175
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302350-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SI021553151
—
NY
Enumeration date
07/02/2006
Last updated
08/24/2009
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