Individual
MR. STEPHEN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5440
Mailing address
4909 EDGEWORTH DR, MANLIUS, NY 13104-2126
(315) 427-0149
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
491540-1
NY
Other
Enumeration date
08/27/2006
Last updated
04/09/2013
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