DESTA ROWENA ANTHONY

MANLIUS, NY
NPI1093721102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F303332)
Enumeration Date2006-07-31
Last Update Date2025-09-15
Business Address
-- DESTA ROWENA ANTHONY ANP
8241 PENSTOCK WAY
MANLIUS, NY 13104-9401
Phone number: 315-559-1965
Mailing Address
-- DESTA ROWENA ANTHONY ANP
8241 PENSTOCK WAY
MANLIUS, NY 13104-9401
Phone number: 315-559-1965