CODY WILLIAM CIVILETTO

SYRACUSE, NY
NPI1053940148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-02
Last Update Date2020-04-02
Business Address
Dr. CODY WILLIAM CIVILETTO MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 716-499-7332
Mailing Address
Dr. CODY WILLIAM CIVILETTO MD
14 PROUDFIT ST
JAMESTOWN, NY 14701-2714
Phone number: 716-499-7332