Individual
ANTONIO V MARASIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 UNION AVE STE 805, SYRACUSE, NY 13203-1844
(315) 474-7847
(315) 474-3714
Mailing address
104 UNION AVE STE 805, SYRACUSE, NY 13203-1844
(315) 474-7847
(315) 474-3714
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
60113597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00478079
—
NY
Enumeration date
11/09/2006
Last updated
10/16/2012
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