Organization
RURAL INFECTIOUS DISEASE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVRILLE GEORGE MD (OWNER)
(877) 279-3511
Entity
Organization
Contact information
Practice address
522 S 4TH ST STE 1700, FULTON, NY 13069-2918
(877) 279-3511
(585) 625-3855
Mailing address
PO BOX 2878, SYRACUSE, NY 13220-2878
(877) 279-3511
(585) 625-3855
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NY
Other
Enumeration date
03/31/2016
Last updated
10/25/2016
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