Individual
VANNA A REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
824 FRANKLIN PARK DR., EAST SYRACUSE, NY 13057
(315) 432-1048
(315) 432-9219
Mailing address
824 FRANKLIN PARK DR., EAST SYRACUSE, NY 13057
(315) 432-1048
(315) 432-9219
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F0005381
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360502-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02185537
—
NY
Enumeration date
11/17/2005
Last updated
03/12/2020
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