Individual
SUSAN REICHERT MAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-4357
Mailing address
8268 TRELLIS BROOK LN, LIVERPOOL, NY 13090-6812
(315) 622-1664
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381001
NY
Other
Enumeration date
10/01/2006
Last updated
08/09/2012
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