ELYSSA HAGEN MAX

SYRACUSE, NY
NPI1972187839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY  403516)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  727162)
Enumeration Date2021-05-07
Last Update Date2021-06-21
Business Address
ELYSSA HAGEN MAX RN
713 HARRISON ST
SYRACUSE, NY 13210-2305
Phone number: 315-464-3105
Mailing Address
ELYSSA HAGEN MAX RN
713 HARRISON ST
SYRACUSE, NY 13210-2305
Phone number: 315-464-3105