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Individual

DARI FREZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
482 BLACK RIVER PKWY, WATERTOWN, NY 13601-2416
(315) 782-1777
Mailing address
482 BLACK RIVER PKWY, WATERTOWN, NY 13601-2416

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0323543
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02996087
NY
Enumeration date
06/14/2019
Last updated
06/14/2019
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