Organization · Type 2 NPI

Molina Healthcare of New York, Inc.

Nurse Practitioner · North Syracuse, NY

NPI number 1134622970 Active

Practice location

5232 Witz Dr
North Syracuse, NY 13212

Fax (562) 499-6171

Mailing address

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1134622970

Molina Healthcare of New York, Inc.'s National Provider Identifier is 1134622970, issued on Mar 16, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Syracuse, NY. The record was last updated on Sep 27, 2019.