DESTA ROWENA ANTHONY

SYRACUSE, NY
NPI1093721102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F303332)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- DESTA ROWENA ANTHONY ANP
124 RUGBY RD
SYRACUSE, NY 13206-3225
Phone number: 315-437-1693
Mailing Address
-- DESTA ROWENA ANTHONY ANP
124 RUGBY RD
SYRACUSE, NY 13206-3225
Phone number: 315-437-1693