Individual
MICHAEL P SHARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
90 PRESIDENTIAL PLZ, FIRM B, SYRACUSE, NY 13202-2240
(315) 464-5412
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000439
NY
Other
Enumeration date
07/01/2005
Last updated
06/22/2009
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