Individual
ALFRED MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 PROSPECT AVE, CLINICAL AFFILIATES, SYRACUSE, NY 13203-1807
(315) 448-2713
(315) 448-6325
Mailing address
301 PROSPECT AVE, CLINICAL AFFILIATES, SYRACUSE, NY 13203-1807
(315) 448-2713
(315) 448-6325
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011988
NY
Other
Enumeration date
12/11/2007
Last updated
08/04/2010
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