QUENTIN LAWRENCE ARCHER

SYRACUSE, NY
NPI1891205043
Former NameQUENTIN DOUGLAS MARTIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  021466)
Enumeration Date2017-10-02
Last Update Date2017-10-02
Business Address
QUENTIN LAWRENCE ARCHER PAC
725 IRVING AVE
SYRACUSE, NY 13210-1603
Phone number: 315-464-9360
Mailing Address
QUENTIN LAWRENCE ARCHER PAC
120 GRAY AVE APT 3C
SYRACUSE, NY 13203-1416
Phone number: 612-703-1266
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