Individual
COLIN MICHAEL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 SOMERSET RD, SYRACUSE, NY 13224-1961
(315) 558-4758
Mailing address
135 SOMERSET RD, SYRACUSE, NY 13224-1961
(315) 558-4758
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024130
NY
Other
Enumeration date
06/24/2019
Last updated
11/22/2019
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