Individual
CHRISTOPHER MARK PONIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6400 FREMONT RD, EAST SYRACUSE, NY 13057-9455
(315) 434-3301
Mailing address
6400 FREMONT RD, EAST SYRACUSE, NY 13057-9455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003528
NY
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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