Individual
INDIA N ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 W SENECA TPKE, SYRACUSE, NY 13215-9646
(315) 269-5142
Mailing address
3239 W SENECA TPKE, SYRACUSE, NY 13215-9646
(315) 269-5142
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
251E00000X
Home Health Agency
20-0702Y19
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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