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Individual

BRIAN DEWAYNE FRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-6400
Mailing address
138 N COURT ST, WAMPSVILLE, NY 13163-7714
(315) 366-2327

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402718
NY

Other

Enumeration date
09/05/2019
Last updated
04/17/2020
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