Individual
KATHLEEN P. DIDONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
124 RUGBY RD, SYRACUSE, NY 13206-3225
(315) 437-1693
(315) 437-1831
Mailing address
124 RUGBY RD, SYRACUSE, NY 13206-3225
(315) 437-1693
(315) 437-1831
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03118307
—
NY
Enumeration date
06/13/2006
Last updated
03/25/2014
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