Individual
DR. STEPHEN LADENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 IRVING AVE, SUITE 310, SYRACUSE, NY 13210-1756
(315) 475-6274
Mailing address
475 IRVING AVE, SUITE 310, SYRACUSE, NY 13210-1756
(315) 475-6274
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036280
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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