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Individual

DEBRA ANN FARENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1000 E GENESEE ST, STE 205 & 205, SYRACUSE, NY 13210-1892
(315) 464-1600
(315) 464-1601
Mailing address
1000 E GENESEE ST, STE 205 & 205, SYRACUSE, NY 13210-1892
(315) 464-1600
(315) 464-1601

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301386
NY
363LF0000X
Family Nurse Practitioner
F333162
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01857318
NY
Enumeration date
06/29/2006
Last updated
06/18/2014
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