Individual
MELISSA EILEEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-3600
Mailing address
27 MATTIE ST, AUBURN, NY 13021-4939
(315) 209-3345
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
682988-01
NY
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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