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1417585761
SCOTT RICHARD GERGELIS
SYRACUSE, NY
NPI
1417585761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
SCOTT RICHARD GERGELIS
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4148
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Mailing Address
SCOTT RICHARD GERGELIS
52 CHASEWOOD LN
EAST AMHERST, NY 14051-1813
Phone number: 716-913-0193
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