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Individual

DR. PAUL STASKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
183 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 251-0401
Mailing address
739 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1651
(315) 479-5070

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006584
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006142
PA

Other

Enumeration date
08/18/2009
Last updated
08/18/2014
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