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Individual

ELLEN E POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6613
(315) 663-0100
(315) 663-0052
Mailing address
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6613
(315) 663-0100
(315) 663-0052

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334765
NY

Other

Enumeration date
05/12/2006
Last updated
12/06/2014
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