Individual
MISS SANDRA R PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7680
Mailing address
7536 TOTMAN RD, NORTH SYRACUSE, NY 13212-2522
(315) 416-0144
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
449222
NY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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