Individual
PHOENIX FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
8044 CAZENOVIA RD, MANLIUS, NY 13104-2008
(315) 877-8817
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
N06635-01
NY
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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