Individual
MRS. CHRISTINE ANN DECIRCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6304 THOMPSON ROAD, SYRACUSE, NY 13221
(315) 432-6369
(860) 998-0720
Mailing address
6304 CARRIER PARKWAY, TR5, EAST SYRACUSE, NY 13057
(315) 432-6369
(860) 998-0720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084601
CT
163W00000X
Registered Nurse
Primary
290526
NY
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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