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NPI Code Detail

MEDICARE: EMIKO NARO NP-C

MEDICARE:   EMIKO  NARO  NP-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 Practitioner343204NY

General Provider Information

NPI Number : 1669967998
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMIKO NARO NP-C
Provider Business Mailing Address
First Line : 1001 W FAYETTE ST STE 400
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2866
Country : US
Telephone Number : 315-472-1488
Fax Number :
Provider Business Practice Location Address
First Line : 783 FRANKLIN ST
Second Line :
City : SKANEATELES
State : NY
Zip : 13152-9313
Country : US
Telephone Number : 315-685-8988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2018
Last Update Date : 08/25/2019

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