Individual
MISS MARIANA ROSE AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6620 FLY RD STE 305, EAST SYRACUSE, NY 13057-4205
(315) 464-3938
(315) 464-5359
Mailing address
6620 FLY RD, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F352006-01
NY
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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