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Individual

DR. LEE AVRAMIDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 732-1191
Mailing address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 732-1191

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
149472
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00838775
NY
Enumeration date
08/23/2005
Last updated
07/09/2007
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