Individual provider · Type 1 NPI
Marijo Dimora, NP
Family Nurse Practitioner · Syracuse, NY
NPI number
1174276265
Active
Practice location
750 East Adams Street
Syracuse, NY 13210
Fax (315) 464-4761
Mailing address
251 Salina Meadows Parkway, Suite 100
Syracuse, NY 13212-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 348488 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174276265
Marijo Dimora, NP's National Provider Identifier is 1174276265, issued on Jan 31, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 29, 2022.