Individual
LAWRENCE S SCIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
301 PROSPECT AVE, CLINICAL AFFILIATES OFFICE, SYRACUSE, NY 13203-1807
(315) 448-2713
(315) 448-3548
Mailing address
301 PROSPECT AVE, CLINICAL AFFILIATES OFFICE, SYRACUSE, NY 13203-1807
(315) 448-2713
(315) 448-3548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002497
NY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/22/2006
Last updated
07/01/2009
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