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Individual

BRIAN SUMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1656 CHAMPLIN AVE, NEW HARTFORD, NY 13413-1068
(315) 624-6010
Mailing address
1656 CHAMPLIN AVE, NEW HARTFORD, NY 13413-1068
(315) 624-6010

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042146
NY

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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