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1366160624
VLADIMIR HANTATUC
SYRACUSE, NY
NPI
1366160624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F404179-01)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
Mr. VLADIMIR HANTATUC PMHNP
620 ERIE BLVD W
SYRACUSE, NY 13204-2445
Phone number: 315-425-4400
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Mailing Address
Mr. VLADIMIR HANTATUC PMHNP
304 IDLEWOOD BLVD
BALDWINSVILLE, NY 13027-3124
Phone number: 315-373-7999
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