Individual
MR. MICHAEL JAMES GERACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3098
(315) 488-2831
Mailing address
4825 HARWICK TER, MANLIUS, NY 13104-2201
(315) 682-2931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007404
NY
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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