1041C0700X
Syracuse, NY
Specialty
1041C0700X
Credential
LMSW
NPI
1164989505
4900 Broad Rd., Syracuse, NY 13215
(315) 488-3905Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X