Individual
KENESHIA S COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
250 FENWAY DR, SYRACUSE, NY 13224-1537
(315) 748-4116
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
789041
NY
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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