DESTA ANTHONY MOBILE NP ADULT HEALTH, PLLC

MANLIUS, NY
NPI1679188494
Entity TypeOrganization
Authorized ContactDESAT ANTHONY
Member
315-559-1965
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
Enumeration Date2020-09-09
Last Update Date2020-09-09
Business Address
DESTA ANTHONY MOBILE NP ADULT HEALTH, PLLC
8241 PENSTOCK WAY
MANLIUS, NY 13104-9401
Phone number: 315-413-3848
Mailing Address
DESTA ANTHONY MOBILE NP ADULT HEALTH, PLLC
8241 PENSTOCK WAY
MANLIUS, NY 13104-9401
Phone number: 315-413-3848