KENT O HUSTAD

SYRACUSE, NY
NPI1265424519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NY  152980)
Enumeration Date2005-08-22
Last Update Date2007-09-13
Business Address
Dr. KENT O HUSTAD M.D.
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5416
Mailing Address
Dr. KENT O HUSTAD M.D.
4567 CROSSROADS PARK DR 2ND FLOOR
LIVERPOOL, NY 13088-3589
Phone number: 315-434-9309