Healthcare Provider Details

I. General information

NPI: 1114039401
Provider Name (Legal Business Name): VERONICA ADSIT RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST DEPARTMENT OF CARDIOVASCULAR SERVICES
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

750 E ADAMS ST DEPARTMENT OF CARDIOVASCULAR SERVICES
SYRACUSE NY
13210-2342
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-1800
  • Fax:
Mailing address:
  • Phone: 315-464-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number334675
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number507811
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: