Individual
SUSAN ADYDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WALBERTA RD, SYRACUSE, NY 13219-2214
(315) 426-3203
Mailing address
400 WALBERTA RD, SYRACUSE, NY 13219-2214
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
406607-1
NY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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