NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1225200900
PETRELA
EVIS
 
 
4900 BROAD RD
SYRACUSE
NY
132152265
1982609780
RICCARDI
TIMOTHY
J
 
PO BOX 2003
EAST SYRACUSE
NY
130574503
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