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1669578043
DAVID ERIC GREEN
SYRACUSE, NY
NPI
1669578043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003890)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
DAVID ERIC GREEN PA
750 E ADAMS ST 7-A ORTHOPEDICS
SYRACUSE, NY 13210-2306
Phone number: 315-464-9265
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Mailing Address
DAVID ERIC GREEN PA
9051 PLAINVILLE RD
BALDWINSVILLE, NY 13027-9647
Phone number: 315-464-9265
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