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Organization
MOHAWK GLEN FAMILY PRACTICE PLLC
Active
Organization
MOHAWK GLEN FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M COTRONEA MD (OWNER)
(315) 336-4830
Entity
Organization
Contact information
Practice address
91 PERIMETER RD, SUITE 120, ROME, NY 13441-4018
(315) 336-4830
Mailing address
91 PERIMETER RD, SUITE 120, ROME, NY 13441-4018
(315) 336-4830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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