Individual
ANDRE T CARDOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
7334 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2600
(315) 458-8680
Mailing address
4322 KELSEY DR, SYRACUSE, NY 13215-1256
(917) 692-6301
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
050299
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
241657
NY
Other
Enumeration date
06/20/2007
Last updated
12/05/2007
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