Individual
DANIEL M DEMARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6620 FLY RD, STE 200, EAST SYRACUSE, NY 13057-9717
(315) 464-4472
(315) 464-5223
Mailing address
6620 FLY ROAD, STE 200, SYRACUSE, NY 13015
(315) 464-4472
(315) 464-5223
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009617
NY
Other
Enumeration date
10/05/2006
Last updated
11/28/2016
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