Individual
AMBER MODAFFERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, RN
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 493-1000
Mailing address
37 BRIDGE ST, CARTHAGE, NY 13619-1352
(315) 561-3068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138545
NY
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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