Individual
TINT LWIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
153 HOMER AVE, CORTLAND MEMORIAL HOSPITAL, CORTLAND, NY 13601
(315) 782-2620
(315) 788-4980
Mailing address
1116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125166-1
NY
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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