Individual
MARY GAY DEFURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7250 JANUS PARK DR, LIVERPOOL, NY 13088-4839
(315) 475-8402
Mailing address
7250 JANUS PARK DR, LIVERPOOL, NY 13088-4839
(315) 475-8402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303041
NY
Other
Enumeration date
08/18/2006
Last updated
07/29/2024
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