Organization
I - VIEW PSYCHIATRIC NP BEHAVIORAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM MASARA N.P (CEO)
(315) 552-1949
Entity
Organization
Contact information
Practice address
5640 E TAFT RD, 5096, SYRACUSE, NY 13220-9810
(315) 552-1949
Mailing address
5640 E TAFT RD, 5096, SYRACUSE, NY 13220-9810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401836
NY
Other
Enumeration date
09/04/2016
Last updated
09/04/2016
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