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Individual

DAVID IMPELLIZZERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
421 MONTGOMERY ST, ROOM 80 BASEMENT, SYRACUSE, NY 13202-2923
(315) 435-3236
Mailing address
4639 JUTLAND DR, JAMESVILLE, NY 13078-9507
(315) 469-6670

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339787
NY

Other

Enumeration date
09/22/2015
Last updated
09/22/2015
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