Individual
MR. ARLEE J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
750 EAST ADAMS STREET, SYRACUSE, NY 13210-2306
(315) 464-5910
(315) 464-4761
Mailing address
251 SALINA MEADOWS PARKWAY, SUITE 100, SYRACUSE, NY 13212
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
352008
NY
363L00000X
Nurse Practitioner
325008
NY
363LF0000X
Family Nurse Practitioner
325008
NY
Other
Enumeration date
08/01/2023
Last updated
09/25/2023
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