Individual
MARY BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
792 N MAIN ST, SUITE 200A, NORTH SYRACUSE, NY 13212-1644
(315) 458-8700
(315) 701-1075
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2856
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300701
NY
Other
Enumeration date
11/02/2005
Last updated
01/08/2010
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