363LX0106X
Syracuse, NY
Specialty
363LX0106X
Credential
NP
NPI
1134267172
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 363lx0106x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LX0106X