National Provider Identifier

Denise Syracuse

Denise Syracuse is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 825-8644.

NPI 1952707531Lackawanna, NYSpecialist

Profile Overview

NPI
1952707531
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 10, 2014
Last Updated
November 10, 2014

Practice Location

  • 1025 Ridge RD
  • Lackawanna, NY 14218-1755

Phone: (716) 825-8644

Mailing Address

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Specialties

  • Specialist (174400000X)
Full Record
NPI
1952707531
Entity Type
Individual
Last Name
Syracuse
First Name
Denise
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 825-8644
Practice Street Address
1025 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1755
Practice Country
US
Practice Phone
(716) 825-8644
Enumeration Date
November 10, 2014
Last Updated
November 10, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)