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1306866934
LOUIS PROFENNO
SYRACUSE, NY
NPI
1306866934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 224782-1)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- LOUIS PROFENNO M.D.
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-3119
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Mailing Address
-- LOUIS PROFENNO M.D.
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-3119
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