Individual
MR. STEVEN P JANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4952 ELGIN CIR, SYRACUSE, NY 13215-2261
(315) 492-1774
Mailing address
133 SUNRIDGE AVE, CAMILLUS, NY 13031-1414
(315) 492-1774
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005319-1
NY
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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