Individual
DINO MUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8100
(315) 798-8391
Mailing address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8100
(315) 798-8391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337317-1
NY
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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