Individual
MARIO FRANCIS PANETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 425-4400
Mailing address
154 NURSERY AVE, GENEVA, NY 14456-2559
(315) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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