Provider Demographics
NPI:1386792075
Name:SZABO, LAURIE ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:SZABO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:ANN
Other - Last Name:PELLITTIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8528 DORY CRSE
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-8229
Mailing Address - Country:US
Mailing Address - Phone:315-699-1084
Mailing Address - Fax:
Practice Address - Street 1:800 IRVING AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2716
Practice Address - Country:US
Practice Address - Phone:315-425-3782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334972-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily