Individual
DR. NANCY J HAVERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5850 HERITAGE LANDING DR, E SYRACUSE, NY 13057
(315) 446-2985
(315) 446-2988
Mailing address
5850 HERITAGE LANDING DR, E SYRACUSE, NY 13057
(315) 446-2985
(315) 446-2988
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
15900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845905
—
NY
Enumeration date
03/06/2007
Last updated
10/03/2013
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