Individual
ARA S MADONIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 W TAFT RD, SUITE 2E, LIVERPOOL, NY 13088-3807
(315) 634-3399
(315) 634-3395
Mailing address
5100 W TAFT RD, SUITE 2E, LIVERPOOL, NY 13088-3807
(315) 634-3399
(315) 634-3395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
095503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00590556
—
NY
Enumeration date
03/23/2006
Last updated
07/08/2007
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