Individual
BRIAN L RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-6090
(315) 824-1956
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 362-5285
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003272
NY
Other
Enumeration date
09/02/2005
Last updated
10/07/2012
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