Individual
TAMMY A MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 E GENESEE ST, SUITE 205 & 206, SYRACUSE, NY 13210-1892
(315) 464-1600
(315) 464-1601
Mailing address
1000 E GENESEE ST, SUITE 205 & 206, SYRACUSE, NY 13210-1892
(315) 464-1600
(315) 464-1601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332298
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02508914
—
NY
Enumeration date
08/19/2005
Last updated
10/20/2010
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