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Organization
HENRY N CHIONUMA MD PC
Active
Organization
HENRY N CHIONUMA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY CHIONUMA MD (OWNER)
(315) 652-1034
Entity
Organization
Contact information
Practice address
7711 OSWEGO RD, LIVERPOOL, NY 13090-2322
(315) 652-1034
(315) 652-1493
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 422-2933
(315) 422-3909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02974803
—
NY
Enumeration date
10/19/2005
Last updated
09/12/2008
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