Alida Anne Dejong is a Family in Syracuse, New York. Alida Anne Dejong practices all healthcare services and medical treatments related to Family. The NPI Number for Alida Anne Dejong is 1013912153. The last update date is 2015-12-01.
Alida Anne Dejong's current location address is 1045 James St, Syracuse, New York. You can contact this provider via phone number 3154724471 and fax number 3154721759. The mailing address for Alida Anne Dejong is 1045 James St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alida Anne Dejong |
|---|---|
| Address | 1045 James St, Syracuse, New York |
| Phone Number | 3154724471 |
| Fax Number | 3154721759 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1013912153 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2015-12-01 |
Provider Mailing Address Detail
| Address | 1045 James St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 1320327300 |
| Phone Number | 3154724471 |
| Fax Number | 3154721759 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | F333173-1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2629216 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alida Anne Dejong?
The Alida Anne Dejong has been issued the NPI (National Provider Identifier) 1013912153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Alida Anne Dejong?
The Alida Anne Dejong is situated at 1045 James St, in the city of Syracuse, state of NY, with the zip code 1320327300.
What is Alida Anne Dejong's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alida Anne Dejong's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Alida Anne Dejong receive its 1013912153 assignment from the Centers for Medicare & Medicaid Services?
The Alida Anne Dejong was assigned its 1013912153 by the Centers for Medicare & Medicaid Services on 2005-06-16.
When was the information regarding Alida Anne Dejong most recently updated?
The details pertaining to the Alida Anne Dejong, including its address, specialty, and other relevant information, were last refreshed on 2015-12-01.