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Individual

JOHN ADAM PROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHG

Contact information

Practice address
106 ARTERIAL RD, SYRACUSE, NE 13206
(315) 437-0699
(315) 433-9091
Mailing address
3131 HIDDEN LAKE DR, BALDWINSVILLE, NY 13027-1529
(315) 635-0919

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26350
NY

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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