Provider Demographics
NPI:1639169162
Name:CROGLIO, VICTOR J (MD)
Entity Type:Individual
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First Name:VICTOR
Middle Name:J
Last Name:CROGLIO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 W FAYETTE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2859
Mailing Address - Country:US
Mailing Address - Phone:315-449-3800
Mailing Address - Fax:315-499-1246
Practice Address - Street 1:5000 BRITTONFIELD PKWY
Practice Address - Street 2:SUITE A100
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9226
Practice Address - Country:US
Practice Address - Phone:315-449-3800
Practice Address - Fax:315-449-1246
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2021-03-12
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Provider Licenses
StateLicense IDTaxonomies
NY156365207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine