Organization
MOHAWK VALLEY REGISTERED PROFESSIONAL NURSE AND ADULT AND FAMILY HEALT
Active
Other names
Mohawk Valley Nurse Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYNNE LUKE NP (MEMBER)
(315) 733-7913
Entity
Organization
Contact information
Practice address
1 NOTRE DAME LN, UTICA, NY 13502-4817
(315) 733-7913
Mailing address
1 NOTRE DAME LN, UTICA, NY 13502-4817
(315) 733-7913
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
186525
NY
261QP2300X
Primary Care Clinic/Center
F301845-1
NY
261QP2300X
Primary Care Clinic/Center
Primary
F333748-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF5144
RAILROAD MEDICARE
NY
Enumeration date
11/29/2006
Last updated
10/16/2008
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