SCOTT GREGORY CHANNELS

SYRACUSE, NY
NPI1467445650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  005049)
Enumeration Date2005-08-24
Last Update Date2007-07-08
Business Address
Mr. SCOTT GREGORY CHANNELS RPA
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5274
Mailing Address
Mr. SCOTT GREGORY CHANNELS RPA
4567 CROSSROADS PARK DR 2ND FL
LIVERPOOL, NY 13088-3589
Phone number: