Individual
MARY SCOZZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
PO BOX 2001, EAST SYRACUSE, NY 13057-4501
(315) 449-2208
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010336
NY
Other
Enumeration date
03/03/2006
Last updated
09/01/2009
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