ELIJAH DIING DUT

SYRACUSE, NY
NPI1982956868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F337380-1)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
-- ELIJAH DIING DUT FNP
945 E GENESEE ST STE 200
SYRACUSE, NY 13210-1752
Phone number: 315-475-8401
Mailing Address
-- ELIJAH DIING DUT FNP
110 EDTIM RD APT 4
SYRACUSE, NY 13206-2710
Phone number: 135-278-1367
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