Individual
ADELYN PASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E COLVIN ST, SYRACUSE, NY 13244-0001
(937) 407-1985
Mailing address
426 LODI ST, APT 1, SYRACUSE, NY 13203-2422
(937) 407-1985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004189
OH
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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