Individual
MRS. CHATWAROT THANASIRIKULSAK PARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 BUTTERNUT ST APT 1, SYRACUSE, NY 13208-2944
(814) 933-6989
Mailing address
1334 BUTTERNUT ST APT 1, SYRACUSE, NY 13208-2944
(814) 933-6989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
825003
NY
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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