Individual
MARC THERRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 RUSSET LN, SYRACUSE, NY 13209-2010
(315) 263-0526
Mailing address
102 RUSSET LN, SYRACUSE, NY 13209-2010
(315) 263-0526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
568620
NY
Other
Enumeration date
09/11/2013
Last updated
06/24/2015
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