Individual
DR. RALPH W FIRESTONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, DEPT OF ANESTHESIOLOGY, SYRACUSE, NY 13203-1807
(315) 448-5440
(315) 472-5010
Mailing address
301 PROSPECT AVE, DEPT OF ANESTHESIOLOGY, SYRACUSE, NY 13203-1807
(315) 448-5440
(315) 472-5010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
188615-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01334192
—
NY
Enumeration date
07/11/2006
Last updated
06/24/2009
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