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1194410845
CHARLES PONTONE KOLKIN
SYRACUSE, NY
NPI
1194410845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
CHARLES PONTONE KOLKIN DO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4363
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Mailing Address
CHARLES PONTONE KOLKIN DO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4363
Copy
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