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Individual

BRIAN C WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
364 EAST AVE, OSWEGO, NY 13126
(315) 326-0056
(315) 326-0102
Mailing address
364 EAST AVE, OSWEGO, NY 13126
(315) 326-0056
(315) 326-0102

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0216491
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02398341
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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