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Individual

MEGAN C CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5100 W TAFT RD, SUITE 4J, LIVERPOOL, NY 13088-3807
(315) 701-2170
(315) 701-2186
Mailing address
6221 STATE ROUTE 31, SUITE 104, CICERO, NY 13039-8715
(315) 752-0141
(315) 752-0142

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303299
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02174032
NY
Enumeration date
08/02/2005
Last updated
09/05/2008
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