Individual
ALEXIS MEI-LI ENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W FAYETTE ST APT 305, SYRACUSE, NY 13202-1293
(570) 244-7725
Mailing address
225 W FAYETTE ST APT 305, SYRACUSE, NY 13202-1293
(570) 244-7725
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
749554
NY
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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