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Individual

PHILIP M MONTELEONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210
(315) 464-5294
(315) 464-6330
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD072735L
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD072735L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001838104
PA
05
8423407
NJ
Enumeration date
07/03/2006
Last updated
01/13/2017
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