Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F300799-1 | NY |
NPI | 1023220324 |
---|---|
Provider Name | Ms. Deborah Marie Frank |
First Address | Syracuse, NY 13208-1936 |
Second Address | Syracuse, NY 13202-2923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |