Individual
PETER KARANDEYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
(315) 999-1377
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 999-1377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717020
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405002
NY
Other
Enumeration date
02/20/2023
Last updated
04/07/2026
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