Individual
CORY BROCIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 703-0810
(315) 703-0814
Mailing address
127 CAMPBELL RD, MATTYDALE, NY 13211-1203
(315) 703-0810
(315) 703-0814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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