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Individual

DR. DAVID MONSOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
Mailing address
8395 GLEN EAGLE DR, MANLIUS, NY 13104-9799
(315) 682-9288

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
191025
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01396212
NY
Enumeration date
02/02/2006
Last updated
05/27/2008
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