Individual
ERINA MYAGKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
725 IRVING AVE, SUITE 600, SYRACUSE, NY 13210
(315) 464-5162
(315) 464-4613
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346279-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06401505
—
NY
Enumeration date
12/30/2020
Last updated
08/13/2021
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