Individual
MARY ELIZABETH-WILK RADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 WATERBURY DR, SYRACUSE, NY 13212-2720
(315) 345-8700
Mailing address
113 WATERBURY DR, SYRACUSE, NY 13212-2720
(315) 345-8700
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
803807-01
NY
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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