Individual
CANDACE MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
753 JAMES STREET, 925, SYRACUSE, NY 13203-2391
(315) 401-1144
Mailing address
753 JAMES STREET, 925, SYRACUSE, NY 13203-2391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312747-1
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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