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Individual

BRIAN T KLOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, PA-C

Contact information

Practice address
750 E ADAMS ST, UNIVERSITY HOSPITAL - DEPT EMERGENCY MEDICINE, SYRACUSE, NY 13210-2342
(315) 464-4363
(315) 464-8690
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
260037-1
NY
363A00000X
Physician Assistant
010006
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02982474
NY
Enumeration date
12/11/2006
Last updated
05/16/2018
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