Individual
EVIS PETRELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 BROAD RD, SUITE 3P, SYRACUSE, NY 13215-2265
(315) 492-5910
(315) 492-5950
Mailing address
4900 BROAD RD, SUITE 3P, SYRACUSE, NY 13215-2265
(315) 492-5910
(315) 492-5950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
003023
NY
Other
Enumeration date
04/02/2008
Last updated
01/14/2013
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