Individual
BONITA SPERATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
742 JAMES ST, OUTPATIENT MENTA HEALTH, SYRACUSE, NY 13203-2017
(315) 703-2730
Mailing address
742 JAMES ST, OUTPATIENT MENTA HEALTH, SYRACUSE, NY 13203-2017
(315) 703-2730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
331463
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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