Individual
MS. AISHA LUBEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
101 BALL RD APT 8, SYRACUSE, NY 13215-1650
(315) 289-6626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F343361-1
NY
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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