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MOBILE NP-ADULT HEALTH OF CNY P.C. NPI 1669662771


NPI Information

NPI: 1669662771
Provider Name: MOBILE NP-ADULT HEALTH OF CNY, P.C.

Doing Business As: MOBILEMED

Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
124 RUGBY RD
SYRACUSE, NY
ZIP 13206
Phone: (315) 437-1693
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MOBILE NP-ADULT HEALTH OF CNY, P.C. is an adult health nurse practitioner in Syracuse, NY. MOBILE NP-ADULT HEALTH OF CNY, P.C. NPI is 1669662771. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mobilemed.

The provider's business location address is:

124 RUGBY RD
SYRACUSE, NY
ZIP 13206-225
Phone: (315) 437-1693

The provider's authorized official is Desta Anthony .
The authorized official title is President and has the following contact phone number (315) 437-1693.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health303332NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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