COURTNEY LEE EGGLESTON

SYRACUSE, NY
NPI1255582516
Former NameCOURTNEY LEE ROSS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  012856)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  MA055386)
Enumeration Date2008-10-06
Last Update Date2016-05-02
Business Address
-- COURTNEY LEE EGGLESTON PA
739 IRVING AVE SUITE 500
SYRACUSE, NY 13210-1651
Phone number: 315-470-7409
Mailing Address
-- COURTNEY LEE EGGLESTON PA
1001 W FAYETTE ST SUITE 400
SYRACUSE, NY 13204-2859
Phone number: 315-470-7409