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Individual

MANOLITO RAMIREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5598
Mailing address
665 E SENECA TPKE, SYRACUSE, NY 13205-2605
(917) 576-4157

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034198
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00354485
NY
Enumeration date
06/25/2009
Last updated
06/25/2009
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