Individual
MICHAEL JOHN DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, ANESTHESIA GROUP OF ONONDAGA PC, SYRACUSE, NY 13203-1807
(315) 448-5440
(315) 472-5010
Mailing address
301 PROSPECT AVE., ANESTHESIA GROUP OF ONONDAGA, PC, SYRACUSE, NY 13203-1807
(315) 448-5440
(315) 472-5010
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
563264
NY
Other
Enumeration date
09/18/2009
Last updated
03/24/2010
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