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1619111234
MARISSA LYNNE MINCOLLA
SYRACUSE, NY
NPI
1619111234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 270174)
Enumeration Date
2009-04-27
Last Update Date
2013-05-20
Business Address
Dr. MARISSA LYNNE MINCOLLA M.D.
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-464-7434
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Mailing Address
Dr. MARISSA LYNNE MINCOLLA M.D.
7510 MEADOW WOOD DR
NORTH SYRACUSE, NY 13212-1042
Phone number: 315-559-7137
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