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Alida Anne Dejong, NP
Family Nurse Practitioner in Syracuse, New York
NPI 1013912153

Alida Anne Dejong is a Family Nurse Practitioner based in Syracuse, NY and is specialized in Family. Alida Anne Dejong practices in Syracuse, NY and has the professional credentials of NP. The NPI Number for Alida Anne Dejong is 1013912153 and holds a License No. 482368-1 (New York).

The current practice location address for Alida Anne Dejong is 1045 James St, Syracuse, NY and can be reached out via phone at 315-472-4471 and via fax at 315-472-1759. You can also correspond with Alida Anne Dejong through the mailing address at 1045 JAMES ST, SYRACUSE, NY - 13203-2730 (mailing address contact number: 315-472-4471).

Location: 1045 James St, Syracuse, NY, 13203-2730
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Provider Profile Details
NPI Number
1013912153
Provider Name
Alida Anne Dejong
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1045 James St, Syracuse, NY, 13203-2730
Phone Number
315-472-4471
Fax Number
315-472-1759
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02629216 05 NY
institution
Provider Business Practice Location Address Details
Address
1045 James St
City
State
Zip
13203-2730
Phone Number
315-472-4471
Fax Number
315-472-1759
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Provider Business Mailing Address Details
Address
1045 James St
City
State
Zip
13203-2730
Phone Number
315-472-4471
Fax Number
315-472-1759
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
F333173-1 (New York)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F302146-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
482368-1 (New York)
Definition
Definition to come...

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