GEORGIY YEGIAZAROV

SYRACUSE, NY
NPI1346724770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  022633)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2018-09-21
Last Update Date2023-06-23
Business Address
GEORGIY YEGIAZAROV PA
725 E. ADAMS STREET 5TH FL
SYRACUSE, NY 13210
Phone number: 315-464-5726
Mailing Address
GEORGIY YEGIAZAROV PA
725 E. ADAMS STREET 5TH FL
SYRACUSE, NY 13210
Phone number: