Individual
PAUL MANFREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 FREMONT RD, EAST SYRACUSE, NY 13057-2696
(315) 434-3000
Mailing address
8500 LONG LEAF TRL, LIVERPOOL, NY 13090-1126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
100108832
NY
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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