Individual
AMY FADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
114 N MAIN ST, NORTH SYRACUSE, NY 13212-2325
(315) 455-5641
Mailing address
4 HANLEY RD, LIVERPOOL, NY 13090-2420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058732
NY
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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