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Individual

JAMES L GREENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
475 IRVING AVE, STE 200, SYRACUSE, NY 13210-1756
(315) 464-4686
(315) 464-7106
Mailing address
475 IRVING AVE, STE 200, SYRACUSE, NY 13210-1756
(315) 464-4686
(315) 464-7106

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
145822
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00630933
NY
Enumeration date
07/18/2006
Last updated
07/01/2010
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