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Individual

MARK BEALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
4127 SILVERADO DR, LIVERPOOL, NY 13090-1621

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
228165
NY

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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