Individual
MR. DEAN ROBERT HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
VA MEDICAL CENTER, 800 IRVING AVENUE, CARDIOLOGY, SYRACUSE, NY 13210
(315) 425-2935
(315) 425-2937
Mailing address
8424 ESPERANCE TRL, LIVERPOOL, NY 13090-4108
(315) 652-9686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331902
NY
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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