Individual
MARIA SOCORRO BASTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-1800
(315) 464-6252
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-1800
(315) 464-6252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
302777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02993259
—
NY
Enumeration date
09/06/2006
Last updated
10/22/2010
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