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Individual

NASRI N GHALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
614 S SALINA ST, SUITE #300, SYRACUSE, NY 13202-3500
(315) 425-0599
(315) 471-6760
Mailing address
614 SOUTH SALINA STREET, SUITE #300, SYRACUSE, NY 13202-3520
(315) 425-0599
(315) 471-6760

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000402
NY
2084P0800X
Psychiatry Physician
Primary
157465
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00825627
NY
Enumeration date
04/26/2006
Last updated
08/08/2013
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