JONATHAN VAN BUREN RIDDELL

SYRACUSE, NY
NPI1922391077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2088P0231X 
(Licence: NY  270264)
Additional Taxonomies208800000X Urology
(Licence: NY  270264)
Enumeration Date2011-05-24
Last Update Date2013-07-19
Business Address
-- JONATHAN VAN BUREN RIDDELL MD
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-464-6106
Mailing Address
-- JONATHAN VAN BUREN RIDDELL MD
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-464-6106
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