Guthrie Ahc

Specialty details in registry · Fort Drum, NY

Call (315) 772-1755 Directions

At a glance

P19914 M3R Tampa, Fort Drum, NY 13602

NPPES record updated Jun 16, 2018. Public records can lag behind changes at a practice.

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Practice location

P19914 M3R Tampa
Fort Drum, NY 13602
Professional details: NPI, taxonomy & registry record
NPI1063902666
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1100X
Enumeration date
May 18, 2018
Record updated
Jun 16, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM1100X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

P19914 M3R Tampa
Fort Drum, NY 13602
Phone
(315) 772-1755
Fax
(315) 772-3339
Mailing address
11050 MOUNT BELVEDERE BLVD

FORT DRUM, NY 136025438
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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