Individual
MS. ALISABETH ANNE WALBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5794 WIDEWATERS PKWY, SYRACUSE, NY 13214-1845
(315) 422-1513
Mailing address
5794 WIDEWATERS PKWY, SYRACUSE, NY 13214-1845
(315) 422-1513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026135
NY
Other
Enumeration date
03/31/2020
Last updated
04/18/2024
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