Individual
CARRIE PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
20 WOODLAND DR, BIG FLATS, NY 14814-7914
(607) 857-3673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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