Individual
ED GRIFFIN-NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
500 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 475-9164
Mailing address
500 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 475-9164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010327-1
NY
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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