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Individual

ROBERT ROGER LEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 IRVING AVE, SUITE 110, SYRACUSE, NY 13210-1603
(315) 464-5450
(315) 464-7238
Mailing address
725 IRVING AVE, SUITE 110, SYRACUSE, NY 13210-1603
(315) 464-5450
(315) 464-7238

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
247545
NY
207SG0201X
Clinical Genetics (M.D.) Physician
26339
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02987933
NY
05
263397
SC
Enumeration date
11/02/2005
Last updated
09/14/2012
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