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1649594243
RAY A ANTOINE
SYRACUSE, NY
NPI
1649594243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403023)
Enumeration Date
2010-03-25
Last Update Date
2020-09-29
Business Address
Mr. RAY A ANTOINE PMHNP-BC
650 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-3600
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Mailing Address
Mr. RAY A ANTOINE PMHNP-BC
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-7680
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