Individual
ANA KNOBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3049 E GENESEE ST, SYRACUSE, NY 13224-1699
(315) 445-4010
Mailing address
331 GENESEE PARK DR, SYRACUSE, NY 13224-1563
(315) 256-3153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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