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NPI Code Detail

MEDICARE: MRS. ANN MARIE SWEET N.P.-C

MEDICARE: MRS. ANN MARIE SWEET N.P.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF332284NY

General Provider Information

NPI Number : 1417052051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN MARIE SWEET N.P.-C
Provider Business Mailing Address
First Line : 212 CHURCHILL LN
Second Line :
City : FAYETTEVILLE
State : NY
Zip : 13066-2539
Country : US
Telephone Number : 315-637-7933
Fax Number :
Provider Business Practice Location Address
First Line : 713 HARRISON ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2305
Country : US
Telephone Number : 315-464-3153
Fax Number : 315-464-3178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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