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Individual

KATHLEEN M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
301 PROSPECT AVE, ANESTHESIA GROUP PC, SYRACUSE, NY 13203-1807
(315) 448-5440
(315) 472-5010
Mailing address
301 PROSPECT AVE, ANESTHESIA GROUP PC, SYRACUSE, NY 13203-1807
(315) 448-5440
(315) 472-5010

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
288120-1
NY

Other

Enumeration date
07/17/2008
Last updated
07/17/2008
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