Individual
EMILY M MARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4103 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 744-1500
(315) 637-7808
Mailing address
301 PROSPECT AVE RM 1605, SYRACUSE, NY 13203-1807
(315) 744-1819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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