Individual
MISS ANNE MARIE CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, CARDIOLOGY DEPT ROOME 6804, SYRACUSE, NY 13210-2306
(315) 464-4262
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
330092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316467
—
NY
Enumeration date
08/31/2006
Last updated
08/24/2020
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