Individual
MS. DENNISE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6371
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 382-2103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338833
NY
Other
Enumeration date
01/07/2015
Last updated
12/16/2015
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