Individual
ANISKA MASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
810 VELASKO RD, SYRACUSE, NY 13207-1035
(315) 383-6806
Mailing address
810 VELASKO RD, SYRACUSE, NY 13207-1035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
619004
NY
Other
Enumeration date
04/25/2024
Last updated
04/29/2024
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