Individual
MARK FRANCIS KVASSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 MADISON ST, SYRACUSE, NY 13202-2822
(315) 426-3600
(315) 426-3605
Mailing address
300 SHADY DR, ENDWELL, NY 13760-5914
(607) 768-2183
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
483773-1
NY
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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