Individual
LISA C GUIDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
721 E GENESEE ST, FL 2, SYRACUSE, NY 13210-1505
(315) 476-3124
(315) 476-3124
Mailing address
721 E GENESEE ST, FL 2, SYRACUSE, NY 13210-1505
(315) 476-3127
(315) 476-3136
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
001329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00561353
—
NY
Enumeration date
10/05/2005
Last updated
04/10/2013
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