Organization
AGCNY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DALE MD (OWNER)
(315) 492-5292
Entity
Organization
Contact information
Practice address
4309 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6638
(315) 329-7300
(315) 329-7308
Mailing address
PO BOX 2000, EAST SYRACUSE, NY 13057-4500
(315) 449-0513
(311) 544-5293
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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