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Individual

MARTHA G. ALIWALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4939 BRITTONFIELD PKWY, SUITE 101, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
(315) 634-6793
Mailing address
4939 BRITTONFIELD PKWY, SUITE 101, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
(315) 634-6793

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239077
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2736905
NY
Enumeration date
05/04/2006
Last updated
12/05/2018
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