Individual
KYRA DANNEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-2500
Mailing address
225 WILKINSON ST APT 302, SYRACUSE, NY 13204-2478
(814) 933-9887
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402407
NY
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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