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Individual

JUAN L SOTOMAYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5229 WITZ DRIVE, NORTH SYRACUSE, NY 13212
(315) 701-9500
Mailing address
5229 WITZ DRIVE, NORTH SYRACUSE, NY 13212
(315) 701-9500

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
175567
NY

Other

Enumeration date
03/16/2006
Last updated
07/11/2007
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