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1043889728
MARK RICHARD MINNICK
SYRACUSE, NY
NPI
1043889728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 024286)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
DR. MARK RICHARD MINNICK PH.D.
620 ERIE BLVD W
SYRACUSE, NY 13204-2445
Phone number: 315-425-4400
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Mailing Address
DR. MARK RICHARD MINNICK PH.D.
800 IRVING AVE
SYRACUSE, NY 13210-2716
Phone number: 315-425-4400
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