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Organization
UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC
Active
Organization
UPSTATE FAMILY AND PREVENTIVE MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EPLING (CHAIRMAN)
(315) 464-4686
Entity
Organization
Contact information
Practice address
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210
(315) 464-4686
(315) 464-7106
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212
(315) 464-2014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NY
Other
Enumeration date
12/03/2015
Last updated
12/04/2015
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