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Organization

OSWEGO COUNTY PODIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARC A GROSACK DPM (PARTNER)
(315) 593-3971
Entity
Organization

Contact information

Practice address
178 S 1ST ST, FULTON, NY 13069
(315) 593-3971
(315) 592-5132
Mailing address
178 S 1ST ST, FULTON, NY 13069
(315) 593-3971
(315) 592-5132

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N2906
NY
213E00000X
Podiatrist
Primary
N3230
NY

Other

Enumeration date
02/13/2007
Last updated
02/29/2008
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