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LORETTA TRASK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-6090
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 446-3904
(315) 445-2936

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009381
NY

Other

Enumeration date
03/08/2006
Last updated
10/23/2007
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