Individual
KIMBERLY ANN CERASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-3835
Mailing address
3999 SPLIT ROCK RD, CAMILLUS, NY 13031-8703
(607) 316-8477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F345951-01
NY
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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