Anthony Francis Colosimo

NPI 1417224494 - Physician Assistant - 363A00000X

NPI Details
NPI 1417224494
Gender Male
Enumeration Date 11/19/2011
Last Updated 04/25/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
301 PROSPECT AVE
SYRACUSE NY, 13203-1807, US
Phone (315) 448-5111
Fax (315) 703-5049
Business Location
104 UNION AVE
SUITE 804
SYRACUSE NY, 13203-1843, US
Phone (315) 703-5049
Fax (315) 703-5079
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 015178-1
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According to our database, Mr. Anthony Francis Colosimo NPI is 1417224494, taxonomy code is 363A00000X and license number is 015178-1, license state is located at New York. Anthony Francis Colosimo physically located at 301 Prospect Ave, Syracuse NY, 13203-1807. NPI Number Anthony Francis Colosimo has the Individual type.

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1417224494 NPI number is provided on an as is basis without warranty of any kind. 1417224494 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Francis Colosimo are for informational purposes only.