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1487852851
MARK A PROFETTO
FAYETTEVILLE, NY
NPI
1487852851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 33 335305)
Enumeration Date
2007-07-06
Last Update Date
2011-12-02
Business Address
-- MARK A PROFETTO FNP
4103 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066-6600
Phone number: 315-637-7800
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Mailing Address
-- MARK A PROFETTO FNP
4103 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066-6600
Phone number: 315-637-7800
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