Individual
MR. ANTHONY GUY DEFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
425 SUNSET RIDGE TRL, ROCHESTER, NY 14626-4437
(585) 208-9770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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