Individual
CONNOR MAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3629
(315) 457-9966
Mailing address
1135 SALT SPRINGS RD, SYRACUSE, NY 13224-1255
(845) 490-1334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032715
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2023
Last updated
10/14/2024
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