Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan Deforge

Individual provider Case Management Registered Nurse · NPI 1760353726

Nathan Deforge is a Case Management Registered Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

800 Irving Ave
Syracuse, NY 13210-2716
Phone: (315) 425-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 882332-01 (NY)

Record details

NPI number1760353726
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 14, 2025
Mailing address5952 Ladd Rd, Brewerton, NY 13029-9642

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