Individual
DR. GLENN B. AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5100 W TAFT RD, LIVERPOOL, NY 13088-3807
(315) 452-2120
(315) 452-2118
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1880
(315) 251-3100
(315) 449-9923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
137145
NY
Other
Enumeration date
04/19/2006
Last updated
04/05/2018
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