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1104883842
MARK J COLANERI
SYRACUSE, NY
NPI
1104883842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 008743)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
Mr. MARK J COLANERI P.A.
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-251-3100
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Mailing Address
Mr. MARK J COLANERI P.A.
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214-1880
Phone number: 315-251-3100
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