Individual
BIANCA ARCHANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 N SALINA ST, SYRACUSE, NY 13208-2512
(315) 435-4533
Mailing address
770 JAMES ST APT 318, SYRACUSE, NY 13203-2591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
850388
NY
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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