ALICIA M DODGE

SYRACUSE, NY
NPI1982972915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  591340-1)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R188019)
Enumeration Date2011-12-05
Last Update Date2012-02-13
Business Address
-- ALICIA M DODGE
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-657-7458
Mailing Address
-- ALICIA M DODGE
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: