Mohawk Valley Registered Professional Nurse and Adult and Family Healt

NPI #1629145578 in Utica, New York

Provider Information

NPI Number: 1629145578
Entity Type: Organization
Organization Name: Mohawk Valley Registered Professional Nurse and Adult and Family Healt
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 29, 2006
Last Updated: Oct 16, 2008

Practice Location

Address: 1 NOTRE DAME LN
City: Utica
State: New York
ZIP Code: 13502-4817
Phone: (315) 733-7913

Authorized Official

Name: LAURA LYNNE LUKE, NP
Title: MEMBER
Phone: (315) 733-7913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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