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1710960414
KENNETH A BEASLEY
SYRACUSE, NY
NPI
1710960414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: KY 39575)
Enumeration Date
2005-11-28
Last Update Date
2020-02-10
Business Address
Dr. KENNETH A BEASLEY MD
1226 E WATER ST
SYRACUSE, NY 13210-1155
Phone number: 315-478-4185
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Mailing Address
Dr. KENNETH A BEASLEY MD
100 METROPOLITAN PARK DR STE 100
LIVERPOOL, NY 13088-7112
Phone number: 315-870-9370
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