Individual
COREY MICHAEL LABOUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-2500
Mailing address
506 PARK AVE, SYRACUSE, NY 13204-2413
(315) 705-5746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349702
NY
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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