Pravinsinh G Sawantdesai
Licensed Practical Nurse in Syracuse, NY. Individual provider (NPI-1).
NPI number1235952011
StatusActive
Last updated in NPPESNov 1, 2024
Details
- NPI
- 1235952011
- Entity type
- Individual (NPI-1)
- Name
- Pravinsinh G Sawantdesai
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2024
- Certification date
- Nov 1, 2024
- Last updated
- Nov 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 284457 | NY | Yes |
Practice location
620 Madison StSyracuse, NY 13210-2319
Phone 315-426-3600
Mailing address
4373 Loveland DrLiverpool, NY 13090-6865
Phone 315-506-9062
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