Individual
BRANDON LAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8393 ELTA DR, CICERO, NY 13039-8958
(315) 698-0290
(315) 698-0291
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3026
(315) 937-3126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034607
NY
Other
Enumeration date
03/19/2024
Last updated
11/25/2025
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