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Individual

DR. KYLE PLANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
5586 LEGIONNAIRE DR, CICERO, NY 13039-3504
(315) 699-2837
Mailing address
5586 LEGIONNAIRE DR, CICERO, NY 13039-3504
(315) 699-2837

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
322900
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
322900
NY

Other

Enumeration date
03/23/2020
Last updated
10/30/2025
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