Individual
MR. SCOTT DAVID FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5011
Mailing address
4725 NORTH ST, JAMESVILLE, NY 13078-9411
(315) 663-5187
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016085
NY
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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