Individual
DR. EVA DAUTENHAHN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
249 ROUTE 11A, NEDROW, NY 13120-0000
(315) 469-6449
(315) 469-0593
Mailing address
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
192827
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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