Individual
AGNIESZKA BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4713 ONONDAGA BLVD, SYRACUSE, NY 13219-3371
(315) 403-5112
Mailing address
4712 ONONDAGA BLVD, SYRACUSE, NY 13219-1605
(315) 472-3832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059643
NY
Other
Enumeration date
08/18/2014
Last updated
12/09/2015
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