Individual
ANTHONY CHIARAVALLOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7040 MANLIUS CENTER RD, EAST SYRACUSE, NY 13057
(315) 671-2210
(315) 255-1322
Mailing address
144 STANDART AVE, AUBURN, NY 13021-1508
(315) 255-1100
(315) 255-1322
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
297978-1
NY
207NS0135X
Procedural Dermatology Physician
Primary
297978-1
NY
Other
Enumeration date
06/09/2014
Last updated
10/26/2020
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