Individual
PATRICIA LYNN BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5820
(315) 464-8699
Mailing address
4933 DRIFTWOOD DR, LIVERPOOL, NY 13088-5834
(315) 225-7380
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308441-1
NY
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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