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Individual

CHRIS R LABOUNTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 PROSPECT AVE, MEDICAL EDUCATION, SYRACUSE, NY 13203-1807
(315) 448-5547
(315) 448-6313
Mailing address
301 PROSPECT AVE, MEDICAL EDUCATION, SYRACUSE, NY 13203-1807
(315) 448-5547
(315) 448-6313

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1619981
NY
208M00000X
Hospitalist Physician
Primary
1619981
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01124538
NY
Enumeration date
03/30/2006
Last updated
01/21/2008
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