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Zachary Love

Nurse Practitioner, Family in Syracuse, NY. Individual provider (NPI-1).

NPI number1760902811
StatusActive
Last updated in NPPESJun 20, 2017

Details

NPI
1760902811
Entity type
Individual (NPI-1)
Name
Zachary Love
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2017
Last updated
Jun 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family341843NYYes

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Phone 315-464-2500

Mailing address

750 E Adams St
Syracuse, NY 13210-2306

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