NATHAN DEFORGE

SYRACUSE, NY
NPI1760353726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: NY  882332-01)
Enumeration Date2025-09-15
Last Update Date2025-09-15
Business Address
-- NATHAN DEFORGE
800 IRVING AVE
SYRACUSE, NY 13210-2716
Phone number: 315-425-4400
Mailing Address
-- NATHAN DEFORGE
5952 LADD RD
BREWERTON, NY 13029-9642
Phone number: