Individual
REBECCA KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 INTREPID LN, SYRACUSE, NY 13205-2544
(315) 469-8700
(315) 930-2096
Mailing address
202 BLUEBERRY LN, SYRACUSE, NY 13219-2104
(315) 708-3035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673844-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
312003
NY
Other
Enumeration date
06/17/2024
Last updated
09/09/2024
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