Individual
BURTON DEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
40 ORISKANY BLVD, WHITESBORO, NY 13492-1318
(315) 292-1374
Mailing address
40 ORISKANY BLVD, WHITESBORO, NY 13492-1318
(315) 292-1374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032436
NY
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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