Doctor Name: | THERESA M PRINCIPATO |
NPI Number: | 1003938895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | MP0528363 |
Business Practice Address: | 736 Irving Ave Crouse Hospital Syracuse, NY - 132101687 |
Business Phone Number: | 3154707111 |
Business Fax Number: | |
Mailing Address: | 1211 Court St, SYRACUSE |
State: | NY |
Postal Code: | 132081850 |
Phone Number: | 3154240502 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | MP0528363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |