STEVE KALISA RUTAGARAMA

SYRACUSE, NY
NPI1649789934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  342202)
Enumeration Date2017-09-29
Last Update Date2019-02-20
Business Address
STEVE KALISA RUTAGARAMA FNP
739 IRVING AVE STE 200-300
SYRACUSE, NY 13210
Phone number: 315-479-5070
Mailing Address
STEVE KALISA RUTAGARAMA FNP
1001 W FAYETTE ST STE 400
SYRACUSE, NY 13204-2866
Phone number: 315-479-5070
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