Cleveland, Karen M

Cleveland, Karen M is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1807. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Cleveland, Karen M can be contacted via phone (315) 448-5440.

Contact Information

Primary practice address
301 Prospect Ave Syracuse NY 13203-1807
Phone: (315) 448-5440
Fax: (315) 472-5010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X F301101-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 301101 New York

Profile Details

NPI number 1093837940
LBN Legal business name Cleveland, Karen M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Feb 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093837940 NPPES
New York MEDICAID 02370501

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