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Individual

ANDREW KANUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
6575 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9809
(315) 701-5710
Mailing address
4403 LIMELEDGE RD, MARCELLUS, NY 13108-9773
(516) 477-0944

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NY

Other

Enumeration date
05/27/2014
Last updated
05/27/2014
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