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Individual

DR. ANTHONY FRANCIS DEVINCENTIS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5792 WIDEWATERS PKWY STE 101, SYRACUSE, NY 13214-1847
(315) 422-4412
Mailing address
5792 WIDEWATERS PKWY STE 101, SYRACUSE, NY 13214-1847
(315) 422-4412

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
247857-1
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
247857
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02986125
NY
Enumeration date
06/11/2007
Last updated
04/04/2023
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