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Individual

DR. ARLENE RATANASIT GRUNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 IRVING AVENUE, SYRACUSE, NY 13210
(315) 425-4400
(315) 425-4380
Mailing address
800 IRVING AVENUE, SYRACUSE, NY 13210
(315) 425-4400
(315) 425-4380

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200348
LA
207W00000X
Ophthalmology Physician
Primary
MD274813
NY
207W00000X
Ophthalmology Physician
ME104027
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001070300
FL
01
145C7
BC/BS
FL
Enumeration date
04/11/2008
Last updated
11/01/2023
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