Individual
CATHLEEN C FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215
(315) 492-5522
(315) 492-5339
Mailing address
PO BOX 2000, EAST SYRACUSE, NY 13057-9926
(315) 362-5129
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
379642
NY
163WP0000X
Pain Management Registered Nurse
379642-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
379642
NY
Other
Enumeration date
07/26/2006
Last updated
03/14/2011
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